Individual
SHILPA MOHAN ULLIKASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1760 E FLORENCE BLVD STE 100, CASA GRANDE, AZ 85122-4765
(520) 374-6505
Mailing address
1760 E FLORENCE BLVD STE 100, CASA GRANDE, AZ 85122-4765
(520) 374-6505
(520) 374-6501
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
70172-20
WI
208000000X
Pediatrics Physician
Primary
73510
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
WI
Other
Enumeration date
07/19/2017
Last updated
08/09/2024
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