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Shanti Priya Subbarao, MD
Family Medicine Physician in Tuscola, Illinois
NPI 1487910295

Shanti Priya Subbarao is a Family Medicine Physician based in Urbana, IL. Shanti Priya Subbarao practices in Tuscola, IL and has the professional credentials of MD. The NPI Number for Shanti Priya Subbarao is 1487910295 and holds a License No. 35.126085 (Illinois).

The current practice location address for Shanti Priya Subbarao is 301 E Southline Rd, Tuscola, IL and can be reached out via phone at 217-253-5231 and via fax at 217-253-4082.

Location: 301 E Southline Rd, Tuscola, IL, 61801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487910295
Provider Name
Shanti Priya Subbarao
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
301 E Southline Rd, Tuscola, IL, 61801
Phone Number
217-253-5231
Fax Number
217-253-4082
Provider Enumeration Date
04/05/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0128393 05 OH
institution
Provider Business Practice Location Address Details
Address
301 E Southline Rd
City
Tuscola
State
Illinois
Zip
61953-2014
Phone Number
217-253-5231
Fax Number
217-253-4082
person
Provider Business Mailing Address Details
Address
301 E Southline Rd
City
Tuscola
State
Illinois
Zip
61953-2014
Phone Number
217-253-5231
Fax Number
217-253-4082
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
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Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
35.126085 (Ohio)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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