SHUBHANGI SHAHAJI PECHE M.D. NPI 1063681336

NPI Information

NPI: 1063681336
Provider Name: SHUBHANGI SHAHAJI PECHE, M.D.
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Individual

Specialization: Neurology with Special Qualifications in Child Neurology

PECOS Registration: Yes

Address:
301 N 8TH ST
SUITE PAV 4A
SPRINGFIELD, IL
ZIP 62701
Phone: (217) 545-8000
Get Directions

Shubhangi Shahaji Peche, M.D. is a neurology with special qualifications in child neurology psychiatry neurology in Springfield, IL. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. Shubhangi Shahaji Peche, M.D. NPI is 1063681336. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

301 N 8TH ST
SUITE PAV 4A
SPRINGFIELD, IL
ZIP 62701-041
Phone: (217) 545-8000
Fax: (217) 545-5018

The NPI 1063681336 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/20/2008 and was last updated on 6/21/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		2007007103	MISSOURI	No
2	2084N0402X	Psychiatry & Neurology	Neurology with Special Qualifications in Child Neurology	036-130157	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	036130157	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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