Provider Demographics
NPI:1528003506
Name:PUNJABI, SHILPA ASHOK (AUD)
Entity Type:Individual
Prefix:DR
First Name:SHILPA
Middle Name:ASHOK
Last Name:PUNJABI
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:991A LOMAS SANTA FE DRIVE
Mailing Address - Street 2:
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075
Mailing Address - Country:US
Mailing Address - Phone:858-863-6827
Mailing Address - Fax:
Practice Address - Street 1:991A LOMAS SANTA FE DRIVE
Practice Address - Street 2:
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075
Practice Address - Country:US
Practice Address - Phone:858-863-6827
Practice Address - Fax:858-630-2960
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA811231H00000X
CAAU 2586231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CE631ZMedicare PIN
CAWAU2586AMedicare PIN