Provider Demographics
NPI:1942989090
Name:SHREEJI INTERVENTIONS, PLLC
Entity Type:Organization
Organization Name:SHREEJI INTERVENTIONS, PLLC
Other - Org Name:PALM ENDOVASCULAR INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AGAM
Authorized Official - Middle Name:DHIREN
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:302-602-0028
Mailing Address - Street 1:2344 CRESTOVER LN
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-6470
Mailing Address - Country:US
Mailing Address - Phone:302-602-0028
Mailing Address - Fax:
Practice Address - Street 1:2344 CRESTOVER LN
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-6470
Practice Address - Country:US
Practice Address - Phone:813-563-0917
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-17
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Multi-Specialty
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Multi-Specialty