Dr Shrestha MD Sc

NPI #1699045740 in Centralia, Illinois

Provider Information

NPI Number: 1699045740
Entity Type: Organization
Organization Name: Dr Shrestha MD Sc
Primary Specialty: Clinic/Center
Enumeration Date: Jan 6, 2012
Last Updated: Jan 6, 2012

Practice Location

Address: 1050 M L KING DR
Address 2: SUITE 111
City: Centralia
State: Illinois
ZIP Code: 62801-3060
Phone: (567) 868-4507

Authorized Official

Name: DR. NIRANJAN SHRESTHA, MD, FAAFP
Title: PRESIDENT
Phone: (567) 868-4507

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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