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NPI Code Detail

MEDICARE: DR. ANGELA SHRESTHA MD

MEDICARE:  DR. ANGELA  SHRESTHA  MD
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
12084P0800XPsychiatry Physician036.143607IL

General Provider Information

NPI Number : 1316364508
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANGELA SHRESTHA MD
Provider Business Mailing Address
First Line : 3948 N SHERIDAN RD
Second Line :
City : CHICAGO
State : IL
Zip : 60613-2935
Country : US
Telephone Number : 773-388-1600
Fax Number :
Provider Business Practice Location Address
First Line : 3948 N SHERIDAN RD
Second Line :
City : CHICAGO
State : IL
Zip : 60613-2935
Country : US
Telephone Number : 773-388-1600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2014
Last Update Date : 05/22/2023

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Directions to “ DR. ANGELA SHRESTHA MD” Practice Location

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