Healthcare Provider Details

I. General information

NPI: 1033523782
Provider Name (Legal Business Name): SHEELA BAGHEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2014
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2823 FRESNO ST
FRESNO CA
93721-1324
US

IV. Provider business mailing address

4960 SW 72ND AVE STE 301
MIAMI FL
33155-5549
US

V. Phone/Fax

Practice location:
  • Phone: 559-459-6000
  • Fax: 559-451-3661
Mailing address:
  • Phone: 877-832-2652
  • Fax: 800-792-9021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME167916
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number25MA10669200
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberA171745
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: