Provider Demographics
NPI:1952791642
Name:MINHAS, SHOBHIT VISHNOI (MD)
Entity type:Individual
Prefix:DR
First Name:SHOBHIT
Middle Name:VISHNOI
Last Name:MINHAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:420 W NORTHWEST HWY STE M
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-6812
Mailing Address - Country:US
Mailing Address - Phone:847-382-6766
Mailing Address - Fax:847-382-6782
Practice Address - Street 1:420 W NORTHWEST HWY STE M
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-6812
Practice Address - Country:US
Practice Address - Phone:847-382-6766
Practice Address - Fax:847-382-6782
Is Sole Proprietor?:No
Enumeration Date:2015-02-02
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020012802207X00000X, 207XS0106X
IL036156301207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery