Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 83714 | GA |
N | 111NI0900X | Internist | 83714 | GA |
Y | 207R00000X | Internist | MT206220 | PA |
Y | 111NI0900X | Internist | MT206220 | PA |
NPI | 1003221359 |
---|---|
Provider Name | Dr. Shaili Nepal |
First Address | Decatur, GA 30033-5918 |
Second Address | Abington, PA 19001-3720 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2014 |
Last Update Date | 21/09/2019 |