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NPI Code Detail

MEDICARE: DR. SHALINI BUMB M.D.

MEDICARE: DR. SHALINI BUMB 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
1207RN0300XNephrology Physician35132424OH
2207RN0300XNephrology Physician075609GA
3390200000XStudent in an Organized Health Care Education/Training Program
4207RN0300XNephrology Physician036177307IL

General Provider Information

NPI Number : 1689967689
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHALINI BUMB M.D.
Provider Business Mailing Address
First Line : 2160 S 1ST AVE
Second Line :
City : MAYWOOD
State : IL
Zip : 60153-3328
Country : US
Telephone Number : 708-216-9000
Fax Number :
Provider Business Practice Location Address
First Line : 234 GOODMAN ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45219-2364
Country : US
Telephone Number : 513-584-4956
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2011
Last Update Date : 12/03/2025

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