Healthcare Provider Details

I. General information

NPI: 1962865865
Provider Name (Legal Business Name): SHAILLY SAINI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2016
Last Update Date: 03/09/2023
Certification Date: 03/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 E MAIN ST
MIDDLETOWN DE
19709-1449
US

IV. Provider business mailing address

640 S. STATE STREET MAIL CODE 3055
DOVER DE
19901-3530
US

V. Phone/Fax

Practice location:
  • Phone: 24-643-9653
  • Fax: 302-464-3966
Mailing address:
  • Phone: 302-480-1688
  • Fax: 302-480-9807

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberC1-0013072
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: