Individual
SHIRIN VARTAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
12865 POINTE DEL MAR WAY STE 210, DEL MAR, CA 92014-3860
(855) 501-1004
Mailing address
3835 N FREEWAY BLVD STE 100, SACRAMENTO, CA 95834-1954
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
6791
OK
2084P0800X
Psychiatry Physician
Primary
20A24242
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
009998
AZ
390200000X
Student in an Organized Health Care Education/Training Program
0274R
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132057
—
AZ
Enumeration date
07/06/2018
Last updated
04/17/2026
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