Individual
DR. SHAWN KWATRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D83592
MD
207R00000X
Internal Medicine Physician
125.1361789
IL
Other
Enumeration date
07/12/2012
Last updated
03/13/2019
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