Individual
SHAILESH NIROULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
419 W 114TH ST, NEW YORK, NY 10025-1710
(212) 523-4000
Mailing address
1111 AMSTERDAM AVE STE 210, NEW YORK, NY 10025-1716
(212) 523-2469
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4351047994
MI
207RC0000X
Cardiovascular Disease Physician
Primary
00000000000
NY
Other
Enumeration date
07/31/2021
Last updated
06/28/2024
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