Shalan, Gregg A

Shalan, Gregg A is an individual health care provider with primary practice located at 221 W Colorado Blvd Ste 525 , Dallas TX 75208-2312. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Neurocritical Care. Allopathic & Osteopathic Physicians / Neurocritical Care is his primary health care specialty. Shalan, Gregg A can be contacted via phone (214) 956-4525.

Contact Information

Primary practice address
221 W Colorado Blvd Ste 525 Dallas TX 75208-2312
Phone: (214) 956-4525
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X J8126 Texas
Allopathic & Osteopathic Physicians / Neurocritical Care 2084A2900X J8126 Texas

Profile Details

NPI number 1710979091
LBN Legal business name Shalan, Gregg A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Nov 4th, 2022 - about 2 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 1710979091 NPPES
Texas Other 112880305 TPI
Texas MEDICAID PO88X2302 TPI

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