Individual
RANA GHAZAN SHAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., MS
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 327-3041
Mailing address
1111 S. WABASH AVE, #2108, CHICAGO, IL 60605-2350
(310) 925-0791
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.028662
IL
Other
Enumeration date
05/03/2011
Last updated
06/14/2012
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