Provider Demographics
NPI:1083652481
Name:BELANI, SHALEEN L (MD)
Entity Type:Individual
Prefix:DR
First Name:SHALEEN
Middle Name:L
Last Name:BELANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:21135 WHITFIELD PL
Mailing Address - Street 2:STE 201
Mailing Address - City:POTOMAC FALLS
Mailing Address - State:VA
Mailing Address - Zip Code:20165-7279
Mailing Address - Country:US
Mailing Address - Phone:703-766-6165
Mailing Address - Fax:
Practice Address - Street 1:6040 CADILLAC AVE
Practice Address - Street 2:KAISER PERMANENTE WEST LA DEPARTMENT OF OPHTHALMOLOGY
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90034-1731
Practice Address - Country:US
Practice Address - Phone:323-857-1163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2016-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA95567207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI72179Medicare UPIN