Most Relevant Information
Provider Data
| NPI Number: | 1003438193 |
| Provider Name: | SHALINI SUNIL SHAH M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/11/2020 |
| Last Updated: | 10/22/2024 |
Provider Practice Location
1500 SAN PABLO ST
LOS ANGELES
CA
900335313
Practice Location Phone/Fax
| Phone: | 7142613585 |
| Fax: |
Provider Mailing Location
5525 W OLYMPIC BLVD UNIT 102
LOS ANGELES
CA
900364854
Provider Mailing Phone/Fax
| Phone: | 7142613585 |
| Fax: |