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NPI Code Detail

MEDICARE: SHARADA WALI

MEDICARE:   SHARADA  WALI
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
1390200000XStudent in an Organized Health Care Education/Training ProgramTRN44859FL

General Provider Information

NPI Number : 1912836180
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARADA WALI
Provider Business Mailing Address
First Line : 3311 OAK LINKS AVE
Second Line :
City : HOUSTON
State : TX
Zip : 77059-3745
Country : US
Telephone Number : 248-878-0040
Fax Number :
Provider Business Practice Location Address
First Line : 1475 W 49TH PL
Second Line :
City : HIALEAH
State : FL
Zip : 33012-3113
Country : US
Telephone Number : 248-878-0040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2026
Last Update Date : 05/14/2026

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Directions to “ SHARADA WALI ” Practice Location

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