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NPI Code Detail

MEDICARE: SHALINI FORBIS MD

MEDICARE: SHALINI FORBIS MD
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
1208000000XPediatrics Physician35075073OH
2208000000XPediatrics PhysicianTL3280WY

Other Identifiers

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

General Provider Information

NPI Number : 1326004391
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHALINI FORBIS MD
Provider Business Mailing Address
First Line : 745 BUENA VISTA DR
Second Line :
City : LANDER
State : WY
Zip : 82520-3431
Country : US
Telephone Number : 307-332-1920
Fax Number : 307-332-1920
Provider Business Practice Location Address
First Line : 745 BUENA VISTA DR
Second Line :
City : LANDER
State : WY
Zip : 82520-3431
Country : US
Telephone Number : 307-332-1920
Fax Number : 307-332-1920
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2006
Last Update Date : 11/24/2015

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1093801664 — MRS. CAROL LEE QUILLEN P.A.-C.
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Directions to “ SHALINI FORBIS MD” Practice Location

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