Individual
SHUJAA FARYAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
305 W JACKSON ST STE 301, CARBONDALE, IL 62901-1474
(618) 529-0520
(618) 529-0519
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 457-5200
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036151697
IL
207RP1001X
Pulmonary Disease Physician
Primary
036151697
IL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
036151697
IL
Other
Enumeration date
07/11/2017
Last updated
08/04/2025
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