MEDICARE: SHALINI MAHAJAN 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	2084N0400X	Neurology Physician	A54253	CA

General Provider Information

NPI Number	:	1780818385
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHALINI MAHAJAN M.D.

Provider Business Mailing Address
First Line	:	8750 WILSHIRE BLVD STE 350
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-2700
Country	:	US
Telephone Number	:	310-652-0010
Fax Number	:	310-861-9090

Provider Business Practice Location Address
First Line	:	8750 WILSHIRE BLVD
Second Line	:	STE 350
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-2703
Country	:	US
Telephone Number	:	310-652-0010
Fax Number	:	310-861-9090

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

Provider Enumeration Date	:	05/11/2009
Last Update Date	:	09/28/2022

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