Individual
DR. KASHYAP S BHATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
514 S 5TH ST, WATSEKA, IL 60970-1637
(815) 432-5747
(815) 432-5747
Mailing address
514 S 5TH ST, WATSEKA, IL 60970-1637
(815) 432-5747
(815) 432-5747
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003989
HEALTH ALLIANCE
—
01
—
03815089
BLUE CROSS BLUE SHIELD
IL
Enumeration date
02/23/2007
Last updated
07/09/2007
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