Shantharaj Samuel M.D.,S.C. in Chicago - Specialist

Shantharaj Samuel M.D.,S.C. - NPI 1831375559

Shantharaj Samuel M.D.,S.C. is a Specialist in Chicago, Illinois. Shantharaj Samuel M.D.,S.C. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Shantharaj Samuel M.D.,S.C. is 1831375559. The last update date is 2008-01-11.

Shantharaj Samuel M.D.,S.C.'s current location address is 3942 N Central Ave, Chicago, Illinois. You can contact this provider via phone number 7737366220. The mailing address for Shantharaj Samuel M.D.,S.C. is 3942 N Central Ave, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shantharaj Samuel M.D.,S.C.
Address 3942 N Central Ave, Chicago, Illinois
Phone Number 7737366220
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PEDIATRICI
Authorized Official Name Samuel Shantharaj
Credentials M.D.
Telephone Number 7737366220

NPI Number Detail

NPI Number 1831375559
Provider Enumeration Date 2008-01-11
Last Updated Date 2008-01-11

Provider Mailing Address Detail

Address 3942 N Central Ave
City Chicago
State Illinois (IL)
Post Code 606342732
Phone Number 7737366220
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Shantharaj Samuel M.D.,S.C.

What is the unique 10-digit identification code issued to Shantharaj Samuel M.D.,S.C. by the Centers for Medicare & Medicaid Services?

The Shantharaj Samuel M.D.,S.C. has been assigned the NPI (National Provider Identifier) 1831375559 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Shantharaj Samuel M.D.,S.C.'s facilities are geographically located?

The facilities of Shantharaj Samuel M.D.,S.C. are physically situated at the following location: 3942 N Central Ave, Chicago, IL, 606342732.

What is the Shantharaj Samuel M.D.,S.C.'s specialty and taxonomy code?

The Shantharaj Samuel M.D.,S.C.'s specialty is Specialist, and the corresponding taxonomy code is 174400000X.

On what date did the Shantharaj Samuel M.D.,S.C. receive its 1831375559 assignment from the Centers for Medicare & Medicaid Services?

The Shantharaj Samuel M.D.,S.C. was assigned its 1831375559 by the Centers for Medicare & Medicaid Services on 2008-01-11.

As of what date was the information regarding Shantharaj Samuel M.D.,S.C., such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Shantharaj Samuel M.D.,S.C., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-01-11.

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