Provider Demographics
NPI:1215948161
Name:SHELBY, SALIM M (MD)
Entity type:Individual
Prefix:
First Name:SALIM
Middle Name:M
Last Name:SHELBY
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1320 EL CAPITAN DR STE 230
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-6258
Mailing Address - Country:US
Mailing Address - Phone:925-232-0090
Mailing Address - Fax:925-853-2371
Practice Address - Street 1:1320 EL CAPITAN DR STE 230
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526-6258
Practice Address - Country:US
Practice Address - Phone:925-232-0090
Practice Address - Fax:925-853-2371
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA69275207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA100016740OtherMEDICARE RAILROAD
CAG71965Medicare UPIN