Individual
ADITYA SANJAY SHIRALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-4000
(352) 273-0761
Mailing address
PO BOX 100286, GAINESVILLE, FL 32610-0286
(352) 265-0761
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A135312
CA
208600000X
Surgery Physician
Primary
ME156749
FL
208600000X
Surgery Physician
S4392
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
416549001
—
TX
01
—
416549002
MEDICAID- CSHCN
TX
Enumeration date
04/02/2013
Last updated
10/26/2022
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