Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 125-057028 | IL |
N | 207X00000X | Orthopaedic Surgeon | 35126856 | OH |
N | 207X00000X | Orthopaedic Surgeon | 53743 | CO |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 036-147487 | IL |
NPI | 1174751440 |
---|---|
Provider Name | Sanjeev Bhatia |
First Address | Warrenville, IL 60555-3846 |
Second Address | Warrenville, IL 60555-3846 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2009 |
Last Update Date | 16/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0140605 | (05) | OH |