Whalio Doctors

NPI 1477781672

Sunny Niranjan Shah, MD

Practitioner Anesthesiology Physician Kankakee, IL

Practice location

Address
350 N Wall St, Kankakee, IL 60901-2901
Phone
(815) 933-1671
Fax
(815) 935-7867
Mailing address
PO Box 13749, Philadelphia, PA 19101-3749

Registered specialties

Anesthesiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 036132035 (IL)

Registry record

NPI
1477781672
Entity type
Individual
Sex (as registered)
Male
NPI issued
25 Jun 2009
Record last updated
15 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.