Healthcare Provider Details

I. General information

NPI: 1245158310
Provider Name (Legal Business Name): SHAMIN PARAJULI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 SW 62ND AVE STE 401
SOUTH MIAMI FL
33143-4721
US

IV. Provider business mailing address

6001 SW 70TH ST APT 342
SOUTH MIAMI FL
33143-3426
US

V. Phone/Fax

Practice location:
  • Phone: 305-284-7648
  • Fax:
Mailing address:
  • Phone: 305-284-7648
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number46158
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: