Individual
MRS. SHOBHANA PATODIA
Active
Individual
MRS. SHOBHANA PATODIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036054216
IL
208VP0014X
Interventional Pain Medicine Physician
Primary
036054216
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01607050
BCBS
—
05
—
036054216
—
IL
01
—
050058531
RRM
—
Enumeration date
07/05/2006
Last updated
01/19/2010
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