Individual
DR. KARTHIK SHASTRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2701 PATRIOT BLVD, GLENVIEW, IL 60026-8039
(847) 724-4536
(847) 509-0536
Mailing address
2701 PATRIOT BLVD, GLENVIEW, IL 60026-8039
(847) 724-4536
(847) 509-0536
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036157688
IL
207Y00000X
Otolaryngology Physician
60856
TN
207YS0123X
Facial Plastic Surgery Physician
60856
NY
390200000X
Student in an Organized Health Care Education/Training Program
63652
NY
Other
Enumeration date
04/05/2015
Last updated
10/28/2021
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