Individual
ADITI SHASTRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 SAN PABLO AVE, BERKELEY, CA 94706-1103
(510) 204-8130
(510) 506-7726
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(510) 204-8130
(510) 506-7726
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A154052
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A154052
STATE MEDICAL LICENSE
CA
Enumeration date
03/24/2016
Last updated
03/07/2023
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