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1003823220
RIAZ SHAH
PEORIA, IL
NPI
1003823220
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036106955)
Enumeration Date
2006-08-01
Last Update Date
2013-08-19
Business Address
-- RIAZ SHAH MD
221 NE GLEN OAK AVE SUITE 504
PEORIA, IL 61636-0001
Phone number: 309-672-5729
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Mailing Address
-- RIAZ SHAH MD
221 NE GLEN OAK AVE SUITE 504
PEORIA, IL 61636-0001
Phone number: 309-672-5729
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