Individual
DR. ABHISHEK KATIYAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5354
(708) 684-1028
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01068334A
IN
207P00000X
Emergency Medicine Physician
Primary
036-122121
IL
207P00000X
Emergency Medicine Physician
4301086249
MI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4301086249
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104783841
—
MI
05
—
104783903
—
MI
05
—
104783921
—
MI
05
—
200985310
—
IN
01
—
AK086249
BC/BS OF MI
MI
Enumeration date
03/17/2006
Last updated
06/26/2025
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