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Individual

DR. BIKRAMJIT MALHOTRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
707 N LOGAN AVE, DANVILLE POLYCLINIC, LTD., DANVILLE, IL 61832-4360
(217) 477-4784
(217) 477-4704
Mailing address
707 N LOGAN AVE, DANVILLE POLYCLINIC, LTD., DANVILLE, IL 61832-4360
(217) 477-4784
(217) 477-4704

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036054354
IL
207R00000X
Internal Medicine Physician
Primary
036054354
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036054354
IL
05
100026090A
IN
01
1676833
UNITED HEALTHCARE
01
170582
PERSONAL CARE/COVENTRY
Enumeration date
06/13/2006
Last updated
01/12/2015
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