Niazi, Sherahsan K

Niazi, Sherahsan K is an individual health care provider with primary practice located at 831 N Larkin Ave , Joliet IL 60435. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Niazi, Sherahsan K can be contacted via phone (815) 741-8888.

Contact Information

Primary practice address
831 N Larkin Ave Joliet IL 60435
Fax: (815) 730-3323
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD.11359R Louisiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036089109 Illinois

Profile Details

NPI number 1902972516
LBN Legal business name Niazi, Sherahsan K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2006
Last updated Mar 26th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902972516 NPPES
Illinois MEDICAID 036089109

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