Provider Demographics
NPI:1699092155
Name:KANJEE, SHEETAL DELIPKUMAR (MD)
Entity type:Individual
Prefix:DR
First Name:SHEETAL
Middle Name:DELIPKUMAR
Last Name:KANJEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:367 S GULPH RD
Mailing Address - Street 2:
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-3121
Mailing Address - Country:US
Mailing Address - Phone:210-491-9400
Mailing Address - Fax:210-491-3550
Practice Address - Street 1:17720 CORPORATE WOODS DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78259-3500
Practice Address - Country:US
Practice Address - Phone:210-491-9400
Practice Address - Fax:210-491-3550
Is Sole Proprietor?:No
Enumeration Date:2010-04-23
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN7817207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX293910002Medicaid
TXN7817OtherTX LICENSE
TX392981ZLM2Medicare PIN