Provider Demographics
NPI:1740821065
Name:SHILPA JINDANI INC
Entity type:Organization
Organization Name:SHILPA JINDANI INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RAHUL
Authorized Official - Middle Name:
Authorized Official - Last Name:JINDANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-573-1547
Mailing Address - Street 1:5109 VIA EL MOLINO
Mailing Address - Street 2:
Mailing Address - City:NEWBURY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91320-6993
Mailing Address - Country:US
Mailing Address - Phone:805-573-1547
Mailing Address - Fax:805-480-3820
Practice Address - Street 1:925 BROADBECK DR STE 210
Practice Address - Street 2:
Practice Address - City:NEWBURY PARK
Practice Address - State:CA
Practice Address - Zip Code:91320-1271
Practice Address - Country:US
Practice Address - Phone:805-573-1547
Practice Address - Fax:805-480-3820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-08
Last Update Date:2020-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty