Organization
BHARAT K KOTADIA MD LLC
Active
Organization
BHARAT K KOTADIA MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHARAT K KOTADIA MD (OWNER)
(630) 871-7265
Entity
Organization
Contact information
Practice address
1822 ARLINGTON LN, GLENDALE HEIGHTS, IL 60139-1309
(630) 871-7265
(630) 682-3353
Mailing address
1822 ARLINGTON LN, GLENDALE HEIGHTS, IL 60139-1309
(630) 871-7265
(630) 682-3353
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
036094599
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02234036
BC/BS OF ILLINOIS
IL
05
—
036094599
—
IL
Enumeration date
04/18/2008
Last updated
06/30/2009
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