Healthcare Provider Details

I. General information

NPI: 1831110543
Provider Name (Legal Business Name): SHREEJI INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 09/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

218 9TH STREET DR W
PALMETTO FL
34221-4802
US

IV. Provider business mailing address

218 9TH STREET DR W
PALMETTO FL
34221-4802
US

V. Phone/Fax

Practice location:
  • Phone: 941-721-3900
  • Fax: 941-721-7403
Mailing address:
  • Phone: 941-721-3900
  • Fax: 941-721-7403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME 83745
License Number StateFL

VIII. Authorized Official

Name: DR. SNEHAL VIPINCHANDRA PARIKH
Title or Position: CEO/OWNER
Credential: M.D.
Phone: 941-721-3900