Individual
SHREYA MOODLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
750 WELCH RD, SUITE 325, MC: 5731, PALO ALTO, CA 94304-1507
(650) 723-7914
(650) 725-8343
Mailing address
750 WELCH RD, SUITE 325, MC: 5731, PALO ALTO, CA 94304-1507
(650) 723-7914
(650) 725-8343
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
A126373
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A126373
CALIFORNIA MEDICAL LICENSE
CA
Enumeration date
07/15/2013
Last updated
07/15/2013
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