Organization
BHUPINDER K. VALIA MD SER CORP
Active
Organization
BHUPINDER K. VALIA MD SER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BHUPINDER K VALIA M.D. (OWNER)
(708) 331-8830
Entity
Organization
Contact information
Practice address
16115 LA SALLE ST, SOUTH HOLLAND, IL 60473-2064
(708) 331-8830
(708) 331-8860
Mailing address
PO BOX 1179, MATTESON, IL 60443-4179
(708) 747-5850
(708) 747-9991
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635595
BLUE SHIELD PPO
IL
Enumeration date
12/27/2006
Last updated
10/23/2007
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