MEDICARE: SHAIZEEL PRAPTANI MD INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician

General Provider Information

NPI Number	:	1003471657
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHAIZEEL PRAPTANI MD INC

Provider Business Mailing Address
First Line	:	PO BOX 1809
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92856-0809
Country	:	US
Telephone Number	:	714-560-1580
Fax Number	:

Provider Business Practice Location Address
First Line	:	20360 SW BIRCH ST STE 110
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-1532
Country	:	US
Telephone Number	:	949-833-1432
Fax Number	:

Authorized Official
Title or Position	:	MD/PRESIDENT
Name	:	DR. SHAIZEEL PRAPTANI
Credential	:	MD
Telephone Number	:	714-560-1580

Provider Enumeration Date	:	05/08/2019
Last Update Date	:	05/08/2019

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