Provider Demographics
NPI:1831110543
Name:SHREEJI INC
Entity Type:Organization
Organization Name:SHREEJI INC
Other - Org Name:PALMETTO PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SNEHAL
Authorized Official - Middle Name:VIPINCHANDRA
Authorized Official - Last Name:PARIKH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-721-3900
Mailing Address - Street 1:218 9TH STREET DR W
Mailing Address - Street 2:
Mailing Address - City:PALMETTO
Mailing Address - State:FL
Mailing Address - Zip Code:34221-4802
Mailing Address - Country:US
Mailing Address - Phone:941-721-3900
Mailing Address - Fax:941-721-7403
Practice Address - Street 1:218 9TH STREET DR W
Practice Address - Street 2:
Practice Address - City:PALMETTO
Practice Address - State:FL
Practice Address - Zip Code:34221-4802
Practice Address - Country:US
Practice Address - Phone:941-721-3900
Practice Address - Fax:941-721-7403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 83745208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL272162700Medicaid