Organization
DAS S GURUJAL M.D LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAS S GURUJAL M.D (PHYSICIAN)
(217) 774-5589
Entity
Organization
Contact information
Practice address
207 S PINE ST, SHELBYVILLE, IL 62565-1749
(217) 774-5589
(217) 774-5733
Mailing address
207 S PINE ST, SHELBYVILLE, IL 62565-1749
(217) 774-5589
(217) 774-5733
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036046622
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036046622
—
IL
Enumeration date
11/12/2009
Last updated
11/12/2009
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