Jalali, Shailen
Jalali, Shailen is an individual health care provider with primary practice located at 700 E Township Line Rd First Floor, Havertown PA 19083-5733. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Jalali, Shailen can be contacted via phone (484) 458-1000.Contact Information
Primary practice address
700 E Township Line Rd First Floor
Havertown PA 19083-5733
Phone: (484) 458-1000
Fax: (484) 458-1001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 25MA07859500 | New Jersey |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | MD036877E | Pennsylvania |
Profile Details
| NPI number | 1427021351 |
|---|---|
| LBN Legal business name | Jalali, Shailen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Apr 18th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427021351 | NPPES |
| New Jersey | Other | 1454762 | AETNA |
| New Jersey | Other | 54-2177172 | AETNA |
| New Jersey | Other | 54-2177172 | AETNA |
| New Jersey | Other | 051051700 | AETNA |
| New Jersey | MEDICAID | 0012471380004 | AETNA |
| New Jersey | Other | 54-2177172 | AETNA |
| New Jersey | Other | 1383718 | AETNA |
| New Jersey | Other | 221914 | AETNA |
| New Jersey | Other | 54-2177172 | AETNA |
| New Jersey | Other | P3729064 | AETNA |
| New Jersey | Other | 0124713801 | AETNA |
| New Jersey | Other | 2814318000 | AETNA |
| New Jersey | MEDICAID | 50279209 | AETNA |
| New Jersey | Other | 54-2177172 | AETNA |
| New Jersey | Other | 54-2177172 | AETNA |
| New Jersey | Other | 54-2177172 | AETNA |
| New Jersey | Other | 1241827 | AETNA |
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