Provider Demographics
NPI:1326024357
Name:BHAN, VARSHA (MD)
Entity Type:Individual
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First Name:VARSHA
Middle Name:
Last Name:BHAN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:17850 KEDZIE AVE
Mailing Address - Street 2:SUITE 1700
Mailing Address - City:HAZEL CREST
Mailing Address - State:IL
Mailing Address - Zip Code:60429-2058
Mailing Address - Country:US
Mailing Address - Phone:708-922-2245
Mailing Address - Fax:708-799-2261
Practice Address - Street 1:17850 KEDZIE AVE
Practice Address - Street 2:SUITE 1700
Practice Address - City:HAZEL CREST
Practice Address - State:IL
Practice Address - Zip Code:60429-2058
Practice Address - Country:US
Practice Address - Phone:708-922-2245
Practice Address - Fax:708-799-2261
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-21
Last Update Date:2021-12-17
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Provider Licenses
StateLicense IDTaxonomies
IL036098405207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H17307Medicare UPIN