Individual
KABEKODE BHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-3129
(217) 326-1550
Mailing address
611 W PARK ST, URBANA, IL 61801-2529
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
257017
MA
208M00000X
Hospitalist Physician
Primary
036158279
IL
Other
Enumeration date
06/20/2013
Last updated
05/19/2022
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