# SHEILA DEBNATH M D INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952625303
- **Authorized official:** MRS. SHEILA DEBNATH MD (MD)
- **Authorized official phone:** (818) 545-9539

## Contact information

- **Practice address:** 1220 S CENTRAL AVE, SUITE 105, GLENDALE, CA 91204
- **Practice address phone:** (818) 545-9539
- **Practice address fax:** (818) 545-0715
- **Mailing address:** 1220 S CENTRAL AVE, SUITE 105, GLENDALE, CA 91204
- **Mailing address phone:** (818) 545-9539
- **Mailing address fax:** (818) 545-0715

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | A41650 | CA | — |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | A41650 | CA | — |

## Other

- **Enumeration date:** 03/15/2010
- **Last updated:** 11/04/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1952625303 | — | CA |