Provider Demographics
NPI:1992053938
Name:BOODRAM, SHALINI MEERA (MD)
Entity type:Individual
Prefix:
First Name:SHALINI
Middle Name:MEERA
Last Name:BOODRAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11259 66TH ST N
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33412-1838
Mailing Address - Country:US
Mailing Address - Phone:248-497-9456
Mailing Address - Fax:772-223-8938
Practice Address - Street 1:REHAB ADMINISTRATION INTERFAITH-2
Practice Address - Street 2:901 45TH STREET
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407
Practice Address - Country:US
Practice Address - Phone:561-884-6494
Practice Address - Fax:561-841-9953
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-23
Last Update Date:2022-06-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
RIMD15469208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation