Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK R SHELLY, DPM
ActiveMARK R SHELLY, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in ENCINO, California. NPI 1902922149 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · ENCINO, CA
Registration Details
- NPI Number
- 1902922149
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 21, 2007 (19.381580886029 yrs)
- Last Updated
- Feb 14, 2017
- License
-
E3427 (CA)
Practice Information
- Address
-
17609 VENTURA BLVDSTE 210ENCINO, CA, 913165123Browse CA providers · Browse ZIP 91316
- Phone
- 8187087668
- Fax
- 8187089668
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
Other Foot & Ankle Surgery Podiatrist Providers in ENCINO, CA
| Name | Credential | NPI |
|---|---|---|
| VLADIMIR ZEETSER | DPM | 1366449985 |
| DR. ROSE DIANE GILMAN KLINE | D.P.M. | 1639101066 |
| DR. MAJID SEYEDIN | DPM | 1194040071 |
| DR. JASON KHADAVI | D.P.M. | 1831534197 |
| KARINA GAVRELOVNA TAVAKALYAN | DPM | 1972091734 |
| ARASH JALIL | DPM | 1326686015 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.