Organization · Type 2 NPI

DR Shrestha MD SC

Clinic/Center · Centralia, IL

NPI number 1699045740 Active

Practice location

1050 M L King Dr, Suite 111
Centralia, IL 62801-3060

Fax (877) 397-7287

Mailing address

605 Sable Dr
Centralia, IL 62801-4472

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

5 other providers at this address

Other clinic/center providers in Centralia

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About NPI 1699045740

DR Shrestha MD SC's National Provider Identifier is 1699045740, issued on Jan 6, 2012. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Centralia, IL. The record was last updated on Jan 6, 2012.