Individual
DR. SHYAM PADMANABHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125054079
IL
207RC0000X
Cardiovascular Disease Physician
Primary
MD31925
AL
Other
Enumeration date
09/03/2010
Last updated
07/21/2022
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