Organization
SHASTRIJI PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYUR M PATEL (OWNER)
(914) 262-1950
Entity
Organization
Contact information
Practice address
1712 I ST NW STE 600, WASHINGTON, DC 20006-3727
(202) 331-0655
Mailing address
1712 I ST NW STE 600, WASHINGTON, DC 20006-3727
(202) 331-0655
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN1001085
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03320174
—
NY
Enumeration date
12/04/2014
Last updated
12/04/2014
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