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Individual

DR. SHREYASI H. DALAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
11456 BROADWAY, CROWN POINT, IN 46307-7106
(219) 227-3621
(219) 865-5401
Mailing address
425 JOLIET ST, SUITE 400, DYER, IN 46311-1765
(219) 227-3621
(219) 865-5401

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01029779A
IN
207L00000X
Anesthesiology Physician
036-061859
IL

Other

Enumeration date
07/11/2006
Last updated
01/20/2011
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