Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0002X | Hospice and Palliative Medicine | A109250 | CA |
Y | 207RH0003X | Hematology & Oncology | A 109250 | CA |
NPI | 1205096633 |
---|---|
Provider Name | Dr. Arvind Manohar Shinde |
First Address | West Hollywood, CA 90048-1804 |
Second Address | West Hollywood, CA 90048-1804 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2008 |
Last Update Date | 16/10/2015 |