MEDICARE: SHAILA BHAGWAN KIRPALANI M.D.

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	207Q00000X	Family Medicine Physician	ME109611	FL
2	390200000X	Student in an Organized Health Care Education/Training Program	TRN12327	FL
3	207P00000X	Emergency Medicine Physician	ME109611	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316114614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAILA BHAGWAN KIRPALANI M.D.

Provider Business Mailing Address
First Line	:	1630 BAY DR
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33141-4718
Country	:	US
Telephone Number	:	954-518-5300
Fax Number	:

Provider Business Practice Location Address
First Line	:	1630 BAY DR
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33141-4718
Country	:	US
Telephone Number	:	954-518-5300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2008
Last Update Date	:	09/19/2023

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