Individual
DR. NEIL SAMIR MASHRUWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2501
(217) 383-3087
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036156204
IL
208600000X
Surgery Physician
MD-46611
IA
2086S0102X
Surgical Critical Care Physician
MD-46611
IA
2086S0127X
Trauma Surgery Physician
Primary
036156204
IL
2086S0127X
Trauma Surgery Physician
MD-46611
IA
Other
Enumeration date
05/13/2011
Last updated
02/13/2024
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