Shobha S Iyengar, MD Sc

NPI #1114115060 in Belvidere, Illinois

Provider Information

NPI Number: 1114115060
Entity Type: Organization
Organization Name: Shobha S Iyengar, MD Sc
Primary Specialty: Internal Medicine
Enumeration Date: Oct 4, 2007
Last Updated: Feb 15, 2011

Practice Location

Address: 2186 UNIT 1
Address 2: NORTH STATE STREET
City: Belvidere
State: Illinois
ZIP Code: 61008-3918
Phone: (815) 547-5007

Authorized Official

Name: SHOBHA S IYENGAR, M.D.
Title: PROVIDER
Phone: (815) 547-5007

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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