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Individual
SHREENATH BISHU
Active
Individual
SHREENATH BISHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036122363
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
125-048944
IL
390200000X
Student in an Organized Health Care Education/Training Program
0116021240
VA
Other
Enumeration date
09/30/2008
Last updated
08/27/2021
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