Provider Demographics
NPI:1306944459
Name:KALE, SHASHWATI SHARAD (MD)
Entity type:Individual
Prefix:DR
First Name:SHASHWATI
Middle Name:SHARAD
Last Name:KALE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2690 S WHITE RD
Mailing Address - Street 2:SUITE #200
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95148-2076
Mailing Address - Country:US
Mailing Address - Phone:408-223-8228
Mailing Address - Fax:408-223-8338
Practice Address - Street 1:2690 S WHITE RD
Practice Address - Street 2:SUITE #200
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95148-2076
Practice Address - Country:US
Practice Address - Phone:408-223-8228
Practice Address - Fax:408-223-8338
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA067291207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH07085Medicare UPIN