Individual
SHESHALI JAIKRISHAN WANCHOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
8900 VAN WYCK EXPY, RICHMOND HILL, NY 11418-2897
(718) 206-6057
Mailing address
800 WASHINGTON ST # 369, BOSTON, MA 02111-1552
(617) 636-6366
(617) 636-6361
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
288699
NY
207R00000X
Internal Medicine Physician
S7155
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
1015346
MA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
288699
NY
2084A2900X
Neurocritical Care Physician
S7155
TX
Other
Enumeration date
05/20/2015
Last updated
09/02/2025
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