Individual
DR. SHAFAT AHMAD SIRAJEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
701 N 1ST ST, SPRINGFIELD, IL 62781-2499
(217) 528-7541
(217) 606-3057
Mailing address
PO BOX 19248, SPRINGFIELD, IL 62794-9248
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OT017405
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036.156020
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
PA
Other
Enumeration date
03/24/2016
Last updated
07/14/2025
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