Provider Demographics
NPI:1447013016
Name:PAZHORE, SHALINI ASHWIN
Entity type:Individual
Prefix:MS
First Name:SHALINI
Middle Name:ASHWIN
Last Name:PAZHORE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11873 BURNT PRAIRIE LN
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-5186
Mailing Address - Country:US
Mailing Address - Phone:469-766-6853
Mailing Address - Fax:
Practice Address - Street 1:11873 BURNT PRAIRIE LN
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-5186
Practice Address - Country:US
Practice Address - Phone:469-766-6853
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach