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1225203805
SHUKTI GHULYANI
URBANA, IL
NPI
1225203805
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 125052201)
Enumeration Date
2008-04-24
Last Update Date
2014-09-24
Business Address
-- SHUKTI GHULYANI MD
611 W PARK ST
URBANA, IL 61801-2500
Phone number: 217-255-9646
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Mailing Address
-- SHUKTI GHULYANI MD
611 W. PARK ST. BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6941
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