Shubhangi Shahaji Peche
Pediatrician Child Neurologist
301 N 8th St Suite Pav 4a
Springfield
, Illinois 62701-1041
Shubhangi Shahaji Peche
Pediatrician Child Neurologist
301 N 8th St Suite Pav 4a
Springfield
, Illinois 62701-1041
(217) 545-5018
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About
Features
Specialties
- Pediatrician
- Child Neurologist
Languages spoken
- English
Location
First Address
- Shubhangi Shahaji Peche
- Po Box 19658
- Springfield, IL
- Zip : 62794-9658
- Fax : (217) 545-5018
- Phone : (217) 545-8000
Second Address
- Shubhangi Shahaji Peche
- 301 N 8th St Suite Pav 4a
- Springfield, IL
- Zip : 62701-1041
- Fax : (217) 545-5018
- Phone : (217) 545-8000
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What is Shubhangi Shahaji Peche ’s gender?
Is Shubhangi Shahaji Peche a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 2007007103 | MO |
| Y | 2084N0402X | Child Neurologist | 036-130157 | IL |
National Provider Identifier
| NPI | 1063681336 |
|---|---|
| Provider Name | Shubhangi Shahaji Peche |
| First Address | Springfield, IL 62794-9658 |
| Second Address | Springfield, IL 62701-1041 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/02/2008 |
| Last Update Date | 21/06/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036130157 | (05) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.