Provider Demographics
NPI:1093800393
Name:KELSHIKAR, SHITAL PATEL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SHITAL
Middle Name:PATEL
Last Name:KELSHIKAR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:SHITAL
Other - Middle Name:B
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:3595 MADISON CMN
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-5421
Mailing Address - Country:US
Mailing Address - Phone:650-641-0119
Mailing Address - Fax:
Practice Address - Street 1:280 W MACARTHUR BLVD
Practice Address - Street 2:INPATIENT PHARMACY DEPT, KAISER OAKLAND MEDICAL CENTER
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-5642
Practice Address - Country:US
Practice Address - Phone:510-752-8118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53489183500000X
TX40184183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist