Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | IL |
NPI | 1003996794 |
---|---|
Provider Name | Dr. Harish Bhatia |
First Address | Oak Forest, IL 60452-2779 |
Second Address | Oak Forest, IL 60452-2779 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 07/03/2008 |