Dave, Shruti M

Dave, Shruti M is an individual health care provider with primary practice located at 1813 W. Kirby Avenue Endocrinology, Champaign IL 61821. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Dave, Shruti M can be contacted via phone (217) 383-3490.

Contact Information

Primary practice address
1813 W. Kirby Avenue Endocrinology Champaign IL 61821
Phone: (217) 383-3490
Fax: (217) 383-3439
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 35084113 Ohio

Profile Details

NPI number 1558387217
LBN Legal business name Dave, Shruti M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Jun 5th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558387217 NPPES
Ohio Other 7030597 AETNA
Ohio Other 000000349199 AETNA
Ohio MEDICAID 2503973 AETNA

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