Individual
SHARAD KOIRALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
1501 S CALIFORNIA AVE, PSY: CHILD & ADOLESCENT, CHICAGO, IL 60608-1732
(773) 257-6655
Mailing address
1501 S CALIFORNIA AVE, PSY: CHILD & ADOLESCENT, CHICAGO, IL 60608-1732
(773) 257-6655
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036137159
IL
390200000X
Student in an Organized Health Care Education/Training Program
0116023003
VA
Other
Enumeration date
07/09/2010
Last updated
06/25/2015
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