Provider Demographics
NPI:1205096633
Name:SHINDE, ARVIND MANOHAR (MD, MBA, MPH)
Entity type:Individual
Prefix:DR
First Name:ARVIND
Middle Name:MANOHAR
Last Name:SHINDE
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Gender:M
Credentials:MD, MBA, MPH
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Mailing Address - Street 1:8700 BEVERLY BLVD
Mailing Address - Street 2:CSMC - SAMUEL OSCHIN CANCER CENTER, ROOM AC1045
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90048-1804
Mailing Address - Country:US
Mailing Address - Phone:310-248-6998
Mailing Address - Fax:310-423-4759
Practice Address - Street 1:8700 BEVERLY BLVD
Practice Address - Street 2:CSMC - SAMUEL OSCHIN CANCER CENTER, ROOM AC1045
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90048-1804
Practice Address - Country:US
Practice Address - Phone:310-248-6998
Practice Address - Fax:310-423-4759
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-10
Last Update Date:2015-10-16
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Provider Licenses
StateLicense IDTaxonomies
CAA109250207RH0002X
CAA 109250207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine