| Das S Gurujal M.d Ltd | |
|
207 S Pine St Shelbyville IL 62565-1749 | |
| (217) 774-5589 | |
| (217) 774-5733 |
| Full Name | Das S Gurujal M.d Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 207 S Pine St, Shelbyville, Illinois |
| Authorized Official Name and Position | Das S Gurujal (PHYSICIAN) |
| Authorized Official Contact | 2177745589 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Das S Gurujal M.d Ltd 207 S Pine St Shelbyville IL 62565-1749 Ph: (217) 774-5589 | Das S Gurujal M.d Ltd 207 S Pine St Shelbyville IL 62565-1749 Ph: (217) 774-5589 |
| NPI Number | 1376870303 |
|---|---|
| Provider Enumeration Date | 11/12/2009 |
| Last Update Date | 11/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376870303 | NPI | - | NPPES |
| 036046622 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036046622 (Illinois) | Primary |
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