SHANKAR IAN LOGARAJAH

CHICAGO, IL
NPI1548823248
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-04-17
Last Update Date2019-04-17
Business Address
SHANKAR IAN LOGARAJAH MD
1740 W TAYLOR ST
CHICAGO, IL 60612-7232
Phone number: 925-989-6764
Mailing Address
SHANKAR IAN LOGARAJAH MD
10312 CROW CANYON RD
CASTRO VALLEY, CA 94552-9502
Phone number: 925-989-6764