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1548823248
SHANKAR IAN LOGARAJAH
CHICAGO, IL
NPI
1548823248
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-04-17
Last Update Date
2019-04-17
Business Address
SHANKAR IAN LOGARAJAH MD
1740 W TAYLOR ST
CHICAGO, IL 60612-7232
Phone number: 925-989-6764
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Mailing Address
SHANKAR IAN LOGARAJAH MD
10312 CROW CANYON RD
CASTRO VALLEY, CA 94552-9502
Phone number: 925-989-6764
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