Individual
DR. PRASHANTH C SHEKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 E CARPENTER ST, SPRINGFIELD, IL 62769-2402
(217) 544-6464
Mailing address
111 OAKWOOD RD, EAST PEORIA, IL 61611-1853
(309) 740-4272
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
36094973
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036094973-3
—
IL
01
—
300119478
RAILROAD GOOD SAM & ST MARY'S
IL
01
—
300119483
RAILROAD ST JOE & UTLAH
IL
Enumeration date
05/23/2006
Last updated
01/23/2024
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