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General NPI Number Information
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NPI Number | 1346516374
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Entity Type | Individual
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Provider Name | SHELINI SOOKLAL M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/23/2012
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Last Update Date | 11/02/2024
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Provider Practice Location Address
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Address Line | 221 MAHALANI ST
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City | WAILUKU
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State | HI
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Zip | 96793-2526
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Country | US
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Telephone | 808-244-9056
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Fax |
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Provider Business Mailing Address
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Address Line | 9500 S DADELAND BLVD STE 200
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City | MIAMI
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State | FL
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Zip | 33156-2866
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Country | US
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Telephone | 786-530-3820
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Fax | 305-675-3378
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MD-23731
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MD465307
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MD61036720
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License Number State | WA
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