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Individual
DR. SHACHI PANDYA
Active
Individual
DR. SHACHI PANDYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
036148900
IL
208D00000X
General Practice Physician
036148900
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
04/03/2015
Last updated
07/15/2021
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