Organization
NIIVA CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHALINI THAREJA MD (OWNER/PHYSICIAN)
(321) 951-1010
Entity
Organization
Contact information
Practice address
3741 W. NEPTUNE ST, TAMPA, FL 33629-5118
(813) 254-4262
(813) 251-6415
Mailing address
675 S BABCOCK ST, MELBOURNE, FL 32901-1459
(321) 951-1010
(321) 952-4038
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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