Individual
DR. SUNNY NIRANJAN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 N WALL ST, KANKAKEE, IL 60901-2901
(815) 933-1671
(815) 935-7867
Mailing address
PO BOX 13749, PHILADELPHIA, PA 19101-3749
(855) 447-2240
(302) 733-0854
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036132035
IL
Other
Enumeration date
06/25/2009
Last updated
08/15/2013
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