Kissoon, Shyla Imani

Kissoon, Shyla Imani is an individual health care provider with primary practice located at 20 Valley St Ste 320 , South Orange NJ 07079-2881. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Kissoon, Shyla Imani can be contacted via phone (973) 313-1113.

Contact Information

Primary practice address
20 Valley St Ste 320 South Orange NJ 07079-2881
Phone: (973) 313-1113
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 9113364 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 25MP00614400 New Jersey

Profile Details

NPI number 1790399483
LBN Legal business name Kissoon, Shyla Imani
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2020
Last updated Aug 9th, 2021 - about 4 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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