Individual
DR. SHIYAM KUMAR SATWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
THREE SAINT ELIZABETH BLVD STE 2800, O FALLON, IL 62269-1282
(618) 233-6044
(833) 973-4218
Mailing address
THREE SAINT ELIZABETH BLVD STE 2800, O FALLON, IL 62269-1282
(618) 233-6044
(833) 973-4218
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036123781
IL
207RC0000X
Cardiovascular Disease Physician
E-4253
AR
207RI0011X
Interventional Cardiology Physician
Primary
036123781
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036123781
—
IL
05
—
166133001
—
AR
Enumeration date
05/24/2007
Last updated
12/21/2021
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