Provider Demographics
NPI:1699833400
Name:KANERIYA, SHALINI GOYAL (MD)
Entity Type:Individual
Prefix:DR
First Name:SHALINI
Middle Name:GOYAL
Last Name:KANERIYA
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 1:11444 AIDAN RUN CT
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:VA
Mailing Address - Zip Code:22066-1391
Mailing Address - Country:US
Mailing Address - Phone:703-757-0615
Mailing Address - Fax:
Practice Address - Street 1:2579 JOHN MILTON DR STE 300
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20171-2500
Practice Address - Country:US
Practice Address - Phone:703-828-0799
Practice Address - Fax:571-525-2963
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2018-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101238937207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine