Dr. Shrutee Baniya, MD
Hospitalist in Carbondale, IL. Individual provider (NPI-1).
NPI number1699088203
StatusActive
Last updated in NPPESMay 14, 2021
Details
- NPI
- 1699088203
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shrutee Baniya
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 23, 2010
- Certification date
- May 14, 2021
- Last updated
- May 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 036.135422 | IL | Yes |
| 207R00000X | Internal Medicine | 036135422 | IL | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
405 W Jackson StCarbondale, IL 62901-1462
Phone 618-549-0271 · Fax 618-529-0479
Mailing address
405 W Jackson StCarbondale, IL 62901-1462
Phone 618-549-0721 · Fax 618-529-0479
Other practice locations
201 S 14th St
Herrin, IL 62948-3631
Herrin, IL 62948-3631
Phone 618-942-2171 · Fax 618-988-6166
2 S Hospital Dr
Murphysboro, IL 62966-3333
Murphysboro, IL 62966-3333
Phone 618-684-3156 · Fax 618-684-1040
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