Healthcare Provider Details

I. General information

NPI: 1083952493
Provider Name (Legal Business Name): SHILPA CHAUDHARI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2013
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8201 N UNIVERSITY DR STE 201
TAMARAC FL
33321-1709
US

IV. Provider business mailing address

8201 N UNIVERSITY DR STE 201
TAMARAC FL
33321-1709
US

V. Phone/Fax

Practice location:
  • Phone: 863-466-0125
  • Fax: 863-695-3985
Mailing address:
  • Phone: 863-466-0125
  • Fax: 863-695-3985

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberME150467
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: