Provider Demographics
NPI:1215191754
Name:PATURI, SHALINI (MD)
Entity Type:Individual
Prefix:
First Name:SHALINI
Middle Name:
Last Name:PATURI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1621 N BELT LINE RD STE A
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-1795
Mailing Address - Country:US
Mailing Address - Phone:972-682-5700
Mailing Address - Fax:972-682-5703
Practice Address - Street 1:1621 N BELT LINE RD STE A
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-1795
Practice Address - Country:US
Practice Address - Phone:972-682-5700
Practice Address - Fax:972-682-5703
Is Sole Proprietor?:No
Enumeration Date:2008-07-14
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036126468207R00000X, 207RE0101X
TXR4452207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine