Provider Demographics
NPI:1508269101
Name:ALBANI, SHANTI NOEL (ND)
Entity Type:Individual
Prefix:DR
First Name:SHANTI
Middle Name:NOEL
Last Name:ALBANI
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1060 SW 46TH AVE APT 211
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33069-0996
Mailing Address - Country:US
Mailing Address - Phone:954-471-2013
Mailing Address - Fax:
Practice Address - Street 1:6700 CYPRESS WALK TER
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-3602
Practice Address - Country:US
Practice Address - Phone:954-471-2013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-27
Last Update Date:2018-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT099.0055372175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath