Provider Demographics
NPI:1033312640
Name:EIN-GAL, SHLOMIT YONIT (MD)
Entity Type:Individual
Prefix:DR
First Name:SHLOMIT
Middle Name:YONIT
Last Name:EIN-GAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SHLOMIT
Other - Middle Name:YONIT
Other - Last Name:LUBOVSKY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:230 S MAIN ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-3851
Mailing Address - Country:US
Mailing Address - Phone:714-541-0101
Mailing Address - Fax:714-541-0450
Practice Address - Street 1:111 COLCHESTER AVE
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-1473
Practice Address - Country:US
Practice Address - Phone:802-847-8400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-09
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174400000X
CAA101628207RH0003X
VT042-0017114207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No174400000XOther Service ProvidersSpecialist
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACB248570Medicare PIN