Provider Demographics
NPI:1184808750
Name:DHAM, SHEFALI (MD)
Entity type:Individual
Prefix:DR
First Name:SHEFALI
Middle Name:
Last Name:DHAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:SHEFALI
Other - Middle Name:
Other - Last Name:ANEJA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:480 SUTCLIFFE PL
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-3938
Mailing Address - Country:US
Mailing Address - Phone:925-852-7075
Mailing Address - Fax:
Practice Address - Street 1:5725 W LAS POSITAS BLVD STE 110
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-4016
Practice Address - Country:US
Practice Address - Phone:925-416-6767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-19
Last Update Date:2020-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY253758207RE0101X
CAA113435207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism