Individual
SHREY KANJIYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6801 PARK TER # 140, LOS ANGELES, CA 90045-1543
(310) 665-7200
Mailing address
STONY BROOK UNIV MED CENTER DEPARTMENT OF, HSC T-18, STONY BROOK, NY 11794-8181
(631) 444-1487
(631) 444-3502
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A168099
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
A168099
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2015
Last updated
08/27/2021
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