Provider Demographics
NPI:1669711263
Name:SHAILESH SHIROLKAR, MD
Entity type:Organization
Organization Name:SHAILESH SHIROLKAR, MD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MD, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAILESH
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIROLKAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-267-1158
Mailing Address - Street 1:625 HALCYON MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-7701
Mailing Address - Country:US
Mailing Address - Phone:919-267-1157
Mailing Address - Fax:919-267-3853
Practice Address - Street 1:1051 PEMBERTON HILL RD
Practice Address - Street 2:SUITE 202
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-4267
Practice Address - Country:US
Practice Address - Phone:919-267-1158
Practice Address - Fax:919-267-3853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-04
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty