Provider Demographics
NPI:1700228947
Name:KHAPER, BHUPINDER (MD)
Entity Type:Individual
Prefix:
First Name:BHUPINDER
Middle Name:
Last Name:KHAPER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1490 E WALNUT ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:WATSEKA
Mailing Address - State:IL
Mailing Address - Zip Code:60970
Mailing Address - Country:US
Mailing Address - Phone:815-432-7693
Mailing Address - Fax:815-936-7228
Practice Address - Street 1:1490 E WALNUT ST
Practice Address - Street 2:SUITE A
Practice Address - City:WATSEKA
Practice Address - State:IL
Practice Address - Zip Code:60970-1806
Practice Address - Country:US
Practice Address - Phone:815-432-7693
Practice Address - Fax:815-936-7228
Is Sole Proprietor?:No
Enumeration Date:2013-07-29
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036139207207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine