Peche, Shubhangi Shahaji

Peche, Shubhangi Shahaji is an individual health care provider with primary practice located at 301 N 8Th St Suite Pav 4A, Springfield IL 62701-1041. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is her primary health care specialty. Peche, Shubhangi Shahaji can be contacted via phone (217) 545-8000.

Contact Information

Primary practice address
301 N 8Th St Suite Pav 4A Springfield IL 62701-1041
Phone: (217) 545-8000
Fax: (217) 545-5018
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2007007103 Missouri
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 036-130157 Illinois

Profile Details

NPI number 1063681336
LBN Legal business name Peche, Shubhangi Shahaji
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2008
Last updated Jun 21st, 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 1063681336 NPPES
Illinois MEDICAID 036130157

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