Provider Demographics
NPI:1447488028
Name:SHROFF, MILONI (MD)
Entity type:Individual
Prefix:
First Name:MILONI
Middle Name:
Last Name:SHROFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1325 PENNSYLVANIA AVE STE 325
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-2175
Mailing Address - Country:US
Mailing Address - Phone:817-887-9389
Mailing Address - Fax:817-887-9392
Practice Address - Street 1:1325 PENNSYLVANIA AVE STE 325
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-2175
Practice Address - Country:US
Practice Address - Phone:817-887-9389
Practice Address - Fax:817-887-9392
Is Sole Proprietor?:No
Enumeration Date:2009-06-23
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR2746207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease