Individual
DR. BHARAT S JAILWALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036066206
IL
261QX0203X
Radiation Oncology Clinic/Center
036066206
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4520831
BLUE CROSS BLUE SHIELD
IL
01
—
P00097762
RAILROAD MEDICARE PIN
IL
Enumeration date
08/18/2006
Last updated
05/15/2024
Update your record
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