Healthcare Provider Details

I. General information

NPI: 1083190136
Provider Name (Legal Business Name): ANUJA SHIKHARE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2018
Last Update Date: 06/16/2022
Certification Date: 06/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 16TH STREET, 4TH FLOOR
SAN FRANCISCO CA
94158-0110
US

IV. Provider business mailing address

550 16TH STREET, 4TH FLOOR
SAN FRANCISCO CA
94158-0110
US

V. Phone/Fax

Practice location:
  • Phone: 415-502-2067
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301114693
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License NumberA176493
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: