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General NPI Number Information
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NPI Number | 1699965707
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Entity Type | Individual
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Provider Name | SHEILA RABBANI WILSON MD
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Gender | Female
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Dates
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Enumeration Date | 07/26/2007
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Last Update Date | 02/26/2018
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Provider Practice Location Address
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Address Line | 74000 COUNTRY CLUB DR STE E1
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City | PALM DESERT
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State | CA
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Zip | 92260-1678
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Country | US
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Telephone | 760-674-8800
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Fax |
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Provider Business Mailing Address
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Address Line | 8 SAN SIMON
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City | RANCHO SANTA MARGARITA
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State | CA
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Zip | 92688-2532
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Country | US
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Telephone | 248-981-5172
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 62363-20
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 4301090679
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | A120723
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License Number State | CA
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