Individual
DR. ANIL B SHIRWAIKAR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9011 35TH AVE, P#2, JACKSON HEIGHTS, NY 11372-5804
(718) 507-7404
(718) 507-1060
Mailing address
PO BOX 701172, FLUSHING, NY 11370-3172
(718) 507-7404
(718) 507-1060
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
137253
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00735373
—
NY
Enumeration date
09/22/2005
Last updated
07/08/2007
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