Jeyakumar, Shalini

Jeyakumar, Shalini is an individual health care provider with primary practice located at 20400 Lake Chabot Rd Ste 304, Castro Valley CA 94546-5316. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Jeyakumar, Shalini can be contacted via phone (510) 537-0700.

Contact Information

Primary practice address
20400 Lake Chabot Rd Ste 304 Castro Valley CA 94546-5316
Fax: (510) 537-7795
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA20853 California

Profile Details

NPI number 1801119995
LBN Legal business name Jeyakumar, Shalini
Credentials MPA, RPA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2010
Last updated Feb 26th, 2018 - about 6 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801119995 NPPES
California Other CB205034 MEDICARE GROUP ID

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