Provider Demographics
NPI:1578977922
Name:KUMAR, BHAVYA (MD)
Entity Type:Individual
Prefix:
First Name:BHAVYA
Middle Name:
Last Name:KUMAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 W BUTTERFIELD RD STE 270
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-5098
Mailing Address - Country:US
Mailing Address - Phone:630-523-9161
Mailing Address - Fax:630-523-9697
Practice Address - Street 1:360 W BUTTERFIELD RD
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-5068
Practice Address - Country:US
Practice Address - Phone:630-523-9161
Practice Address - Fax:630-523-9697
Is Sole Proprietor?:No
Enumeration Date:2014-06-13
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT53216207R00000X, 207R00000X
IL036138632207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine