Provider Demographics
NPI:1669219002
Name:RAWAL, SHALIN SAMIRKUMAR (MBBS)
Entity type:Individual
Prefix:
First Name:SHALIN SAMIRKUMAR
Middle Name:
Last Name:RAWAL
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ST. MARY'S GENERAL HOSPITAL
Mailing Address - Street 2:350 BOULEVARD MEMORIAL BUILDING-ROOM 328
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055
Mailing Address - Country:US
Mailing Address - Phone:973-365-4661
Mailing Address - Fax:973-365-4848
Practice Address - Street 1:ST. MARY'S GENERAL HOSPITAL
Practice Address - Street 2:350 BOULEVARD MEMORIAL BUILDING-ROOM 328
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055
Practice Address - Country:US
Practice Address - Phone:973-365-4661
Practice Address - Fax:973-365-4848
Is Sole Proprietor?:No
Enumeration Date:2024-07-12
Last Update Date:2025-10-16
Deactivation Date:2025-04-07
Deactivation Code:
Reactivation Date:2025-10-16
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program