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Individual

DR. ARVIN KUMAR BHATIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
302 RANDALL RD, GENEVA, IL 60134-4209
(630) 262-7400
(630) 262-3760
Mailing address
302 RANDALL RD, GENEVA, IL 60134-4209
(630) 262-7400
(630) 262-3760

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125-050973
IL
207RG0100X
Gastroenterology Physician
Primary
036123230
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036123230
IL
01
206147
MEDICARE PTAN (GROUP)
IL
01
CA4748
MEDICARE RR (GROUP)
IL
01
F400099426
MEDICARE PTAN (INDIVIDUAL)
IL
01
P01308437
MEDICARE RR (INDIVIDUAL)
IL
Enumeration date
08/12/2008
Last updated
06/26/2014
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