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NPI Code Detail

MEDICARE: DR. SHREYA NAIR DPM

MEDICARE: DR. SHREYA NAIR DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatrist135.011500IL

General Provider Information

NPI Number : 1053247015
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHREYA NAIR DPM
Provider Business Mailing Address
First Line : 5400 W LANDENS WAY APT 3B
Second Line :
City : PEORIA
State : IL
Zip : 61615-9226
Country : US
Telephone Number : 618-731-8458
Fax Number :
Provider Business Practice Location Address
First Line : 530 NE GLEN OAK AVE
Second Line :
City : PEORIA
State : IL
Zip : 61637-0001
Country : US
Telephone Number : 309-655-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2026
Last Update Date : 06/18/2026

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Directions to “ DR. SHREYA NAIR DPM” Practice Location

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