Provider Demographics
NPI:1851608756
Name:SOBTI, VIKRAM KRISHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:VIKRAM
Middle Name:KRISHAN
Last Name:SOBTI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:11995 SINGLETREE LN
Mailing Address - Street 2:SUITE 500
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-5347
Mailing Address - Country:US
Mailing Address - Phone:952-595-1300
Mailing Address - Fax:612-294-4903
Practice Address - Street 1:949 FAIR OAKS AVE
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60302-1335
Practice Address - Country:US
Practice Address - Phone:952-595-1100
Practice Address - Fax:612-294-4903
Is Sole Proprietor?:No
Enumeration Date:2010-09-13
Last Update Date:2017-03-24
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Provider Licenses
StateLicense IDTaxonomies
IL0361283752085R0202X, 2471C3401X
IL036.1283752471M1202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2471C3401XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistComputed Tomography
No2471M1202XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMagnetic Resonance Imaging
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILF400317309Medicare UPIN