Bali, Shammi K
Bali, Shammi K is an individual health care provider with primary practice located at 1100 Sw Saint Lucie West Blvd Ste 209, Port Saint Lucie FL 34986-1780. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bali, Shammi K can be contacted via phone (772) 204-8889.Contact Information
Primary practice address
1100 Sw Saint Lucie West Blvd Ste 209
Port Saint Lucie FL 34986-1780
Phone: (772) 204-8889
Fax: (772) 204-8895
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME 89119 | Florida |
Profile Details
| NPI number | 1578556486 |
|---|---|
| LBN Legal business name | Bali, Shammi K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2005 |
| Last updated | Jun 18th, 2024 - about 3 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578556486 | NPPES |
| Florida | Other | 30036 | BLUE CROSS BLUE SHIELD |
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