Rajendra R Shroff Md Sc | |
1050 M L King Dr Ste 101 Centralia IL 62801-3060 | |
(618) 532-5700 | |
Not Available |
Full Name | Rajendra R Shroff Md Sc |
---|---|
Speciality | Internal Medicine |
Location | 1050 M L King Dr Ste 101, Centralia, Illinois |
Authorized Official Name and Position | Rajendra R Shroff (M D) |
Authorized Official Contact | 6185325700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Rajendra R Shroff Md Sc 1050 M L King Dr Ste 101 Centralia IL 62801-3060 Ph: (618) 532-5700 | Rajendra R Shroff Md Sc 1050 M L King Dr Ste 101 Centralia IL 62801-3060 Ph: (618) 532-5700 |
NPI Number | 1417203670 |
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Provider Enumeration Date | 07/25/2012 |
Last Update Date | 07/25/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417203670 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Tom Martin Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1050 Ml King Dr, Suite 104, Centralia, IL 62801 Phone: 618-532-6330 Fax: 618-532-7227 | |
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