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NPI Code Detail

MEDICARE: DR. SUJIT PRASAD SHRESTHA M.D.

MEDICARE:  DR. SUJIT PRASAD SHRESTHA  M.D.
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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician036.100085IL

General Provider Information

NPI Number : 1275686891
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUJIT PRASAD SHRESTHA M.D.
Provider Business Mailing Address
First Line : PO BOX 775925
Second Line :
City : CHICAGO
State : IL
Zip : 60677-5925
Country : US
Telephone Number : 815-226-2000
Fax Number :
Provider Business Practice Location Address
First Line : 5666 E STATE ST
Second Line :
City : ROCKFORD
State : IL
Zip : 61108-2425
Country : US
Telephone Number : 815-226-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2007
Last Update Date : 06/04/2026

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Directions to “ DR. SUJIT PRASAD SHRESTHA M.D.” Practice Location

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