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1558387217
SHRUTI M DAVE
CHAMPAIGN, IL
NPI
1558387217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: OH 35084113)
Enumeration Date
2006-07-14
Last Update Date
2012-06-05
Business Address
-- SHRUTI M DAVE M.D.
1813 W. KIRBY AVENUE ENDOCRINOLOGY
CHAMPAIGN, IL 61821
Phone number: 217-383-3490
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Mailing Address
-- SHRUTI M DAVE M.D.
602 W. UNIVERSITY AVE PROVIDER ENROLLMENT - NCW4
URBANA, IL 61801-2530
Phone number: 217-383-6792
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