Shyam Padmanabhan M.D.

NPI 1013224609 - Internal Medicine - 207R00000X

NPI Details
NPI 1013224609
Gender Male
Enumeration Date 09/03/2010
Last Updated 09/03/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1926 W HARRISON ST
APT 606
CHICAGO IL, 60612-3737, US
Phone (312) 646-9504
Fax
Business Location
1926 W HARRISON ST
APT 606
CHICAGO IL, 60612-3737, US
Phone (312) 646-9504
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Illinois
License Number 125054079
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According to our database, Dr. Shyam Padmanabhan M.D. NPI is 1013224609, taxonomy code is 207R00000X and license number is 125054079, license state is located at Illinois. Shyam Padmanabhan M.D. physically located at 1926 W Harrison St, Chicago IL, 60612-3737. NPI Number Shyam Padmanabhan M.D. has the Individual type.

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1013224609 NPI number is provided on an as is basis without warranty of any kind. 1013224609 is maintained by the National Plan & Provider Enumeration System. The contents of Shyam Padmanabhan M.D. are for informational purposes only.