Individual
MEDHAT ELSHERBINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 W MAIN ST, VETERANS AFFAIR MEDICAL CENTER, MARION, IL 62959-1188
(618) 997-5311
(801) 352-9502
Mailing address
2401 W MAIN ST, VETERANS AFFAIR MEDICAL CENTER, MARION, IL 62959-1188
(618) 997-5311
(801) 352-9502
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-116181
IL
207RP1001X
Pulmonary Disease Physician
Primary
036-116181
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036116181
BCBS OF IL
IL
01
—
P00356270
RR MEDICARE
IL
Enumeration date
08/05/2006
Last updated
03/23/2016
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