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Individual
SHIVANI MEHTA GOPALSAMI
Active
Individual
SHIVANI MEHTA GOPALSAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
22683
CA
363L00000X
Nurse Practitioner
Primary
22683
CA
363LA2200X
Adult Health Nurse Practitioner
22683
CA
Other
Enumeration date
10/17/2012
Last updated
10/01/2025
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