Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 0101222017 | VA |
N | 207X00000X | Orthopaedic Surgeon | ME0074071 | FL |
N | 2086S0105X | Surgery of the Hand | G081934 | CA |
NPI | 1770645368 |
---|---|
Provider Name | Dr. Swati Sudheer Shirali |
First Address | Rockville, MD 20852-4908 |
Second Address | Fairfax, VA 22033-4512 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2006 |
Last Update Date | 06/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G38779 | (02) | MD |