Provider Demographics
NPI:1750702171
Name:SINGH, SHELLEY SHALINI (DO)
Entity type:Individual
Prefix:DR
First Name:SHELLEY
Middle Name:SHALINI
Last Name:SINGH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14610 S MILITARY TRL STE G3
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-3801
Mailing Address - Country:US
Mailing Address - Phone:561-819-3100
Mailing Address - Fax:561-819-3119
Practice Address - Street 1:14610 S MILITARY TRL STE G3
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-3801
Practice Address - Country:US
Practice Address - Phone:561-819-3100
Practice Address - Fax:561-819-3119
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-02
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS13974207RR0500X
FLOS 12090207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine