Shay, Thanad S

Shay, Thanad S is an individual health care provider with primary practice located at 1201 N North St , Peoria IL 61606-1533. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Shay, Thanad S can be contacted via phone (309) 671-2310.

Contact Information

Primary practice address
1201 N North St Peoria IL 61606-1533
Phone: (309) 671-2310
Fax: (309) 674-3560
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036048357 Illinois

Profile Details

NPI number 1174672331
LBN Legal business name Shay, Thanad S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Sep 6th, 2023 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1174672331 NPPES
Illinois MEDICAID 036048357

Popular Providers