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Individual

BHAVESH BHAGIRATH KATBAMNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(888) 584-7888
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2020017586
MO
207RC0000X
Cardiovascular Disease Physician
Primary
036.165566
IL

Other

Enumeration date
06/19/2020
Last updated
06/28/2023
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