Provider Demographics
NPI:1710297882
Name:SHALOM, ROSE (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSE
Middle Name:
Last Name:SHALOM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ROSE
Other - Middle Name:SHALOM
Other - Last Name:HALPERIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:JAMES TAYLOR CAMPUS HEALTH CTR
Mailing Address - Street 2:BLDG 469H, UNC
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-0001
Mailing Address - Country:US
Mailing Address - Phone:919-966-2281
Mailing Address - Fax:
Practice Address - Street 1:JAMES TAYLOR CAMPUS HEALTH CTR
Practice Address - Street 2:BLDG 469H, UNC
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-0001
Practice Address - Country:US
Practice Address - Phone:919-966-2281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-07
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC24517207R00000X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine