MEDICARE: MS. PREETI SHENOY

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	208600000X	Surgery Physician	A164653	CA

General Provider Information

NPI Number	:	1700220159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PREETI SHENOY

Provider Business Mailing Address
First Line	:	30 CARLTON DR
Second Line	:
City	:	PARSIPPANY
State	:	NJ
Zip	:	07054-7910
Country	:	US
Telephone Number	:	973-978-6010
Fax Number	:

Provider Business Practice Location Address
First Line	:	2809 OLIVE HWY STE 220
Second Line	:
City	:	OROVILLE
State	:	CA
Zip	:	95966-6133
Country	:	US
Telephone Number	:	530-532-8161
Fax Number	:	530-538-3270

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

Provider Enumeration Date	:	04/28/2013
Last Update Date	:	11/21/2019

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Directions to “ MS. PREETI SHENOY ” Practice Location

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