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NPI Code Detail

MEDICARE: DR. SONALI G. KSHATRIYA PHARM.D.

MEDICARE: DR. SONALI G. KSHATRIYA PHARM.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
1183500000XPharmacistIL

General Provider Information

NPI Number : 1619097235
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SONALI G. KSHATRIYA PHARM.D.
Provider Business Mailing Address
First Line : 18 S ABERDEEN ST UNIT 2
Second Line :
City : CHICAGO
State : IL
Zip : 60607-2543
Country : US
Telephone Number : 630-891-5142
Fax Number :
Provider Business Practice Location Address
First Line : 1340 S CANAL ST
Second Line :
City : CHICAGO
State : IL
Zip : 60607-5208
Country : US
Telephone Number : 312-850-0398
Fax Number : 312-850-9885
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2007
Last Update Date : 07/08/2007

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