NPI

Sunny Niranjan Shah

NPI 1477781672

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
M.D.
Type
Individual
Enumeration date
2009-06-25
Last updated
2013-08-15

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Specialties

Licenses

License IL
036132035

Location

Practice location
350 N Wall St
City
Kankakee IL
Postal code
60901-2901
Phone
(815) 933-1671

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Kankakee, IL. 852 records in the public file.

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