Individual
SHIRAZ FIDAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5841 S MARYLAND AVE RM S-323, CHICAGO, IL 60637-1447
(773) 834-7708
Mailing address
5841 S MARYLAND AVE RM S-323, CHICAGO, IL 60637-1447
(773) 834-7708
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
036-145505
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
125065485
IL
Other
Enumeration date
06/24/2014
Last updated
04/23/2021
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