National Provider Identifier
Shital Oli, MD
Shital Oli, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Ithaca, NY and a listed phone number of (607) 277-2170.
Profile Overview
- NPI
- 1194347351
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- May 11, 2020
- Last Updated
- January 13, 2022
Practice Location
- 101 Dates Drive, Internal Medicine Residency, Cayuga
- Ithaca, NY 14850
Phone: (607) 277-2170
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1194347351
- Entity Type
- Individual
- Last Name
- Oli
- First Name
- Shital
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 101 Dates Drive, Internal Medicine Residency, Cayuga
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850
- Mailing Country
- US
- Mailing Phone
- (646) 204-5218
- Practice Street Address
- 101 Dates Drive, Internal Medicine Residency, Cayuga
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850
- Practice Country
- US
- Practice Phone
- (607) 277-2170
- Enumeration Date
- May 11, 2020
- Last Updated
- January 13, 2022
- Deactivation Date
- January 11, 2022
- Reactivation Date
- January 12, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- January 13, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)