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General NPI Number Information
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NPI Number | 1285689976
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Entity Type | Individual
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Provider Name | SHALINI BAHL MD
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Gender | Female
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 09/28/2020
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Provider Practice Location Address
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Address Line | 8363 YANKEE ST
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City | DAYTON
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State | OH
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Zip | 45458-1809
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Country | US
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Telephone | 937-885-4412
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Fax | 937-977-1705
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Provider Business Mailing Address
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Address Line | 1029 STAY LIT CT
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City | BELLBROOK
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State | OH
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Zip | 45305-8981
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Country | US
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Telephone | 937-284-2536
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 35073578
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License Number State | OH
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