Nandish, Shailesh S

Nandish, Shailesh S is an individual health care provider with primary practice located at 619 E Mason St Suite 4P57, Springfield IL 62701-1034. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Nandish, Shailesh S can be contacted via phone (217) 788-0706.

Contact Information

Primary practice address
619 E Mason St Suite 4P57 Springfield IL 62701-1034
Phone: (217) 788-0706
Fax: (217) 525-2535
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-100308 Illinois
Other Service Providers / Specialist 174400000X 036100308 Illinois
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036100308 Illinois
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 036100308 Illinois

Profile Details

NPI number 1134104144
LBN Legal business name Nandish, Shailesh S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Apr 14th, 2017 - about 7 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 1134104144 NPPES
Illinois MEDICAID 036100308
Illinois Other P00992318

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