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Individual

DR. TANVEER SHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.,

Contact information

Practice address
901 E SOUTHWIND RD, MCFARLAND MHC, SPRINGFIELD, IL 62703-5125
(217) 786-6994
Mailing address
901 E SOUTHWIND RD, MCFARLAND MHC, SPRINGFIELD, IL 62703-5125
(217) 786-6994

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036093287
IL
2084P0800X
Psychiatry Physician
2008-01600
NC

Other

Enumeration date
09/19/2006
Last updated
10/14/2013
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