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Individual
SHAMIR BHATT
Active
Individual
SHAMIR BHATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036108288
IL
208000000X
Pediatrics Physician
036108288
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036108288
—
IL
01
—
060025919
RR MEDICARE
IL
Enumeration date
08/10/2005
Last updated
01/20/2011
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