Individual
DR. BHARTI RAIZADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D,
Contact information
Practice address
3249 OAK PARK AVE, BERWYN, IL 60402-3429
(708) 783-6339
Mailing address
68 S. SERVICE RD, SUITE 350, MELVILLE, NY 11747-2358
(516) 945-3115
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036124445
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
036124445
IL
Other
Enumeration date
09/01/2010
Last updated
10/13/2016
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