Provider Demographics
NPI:1851679591
Name:BHAVE, MEGHAN AJAY (MD)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:AJAY
Last Name:BHAVE
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 1:6 MARCEL LANE
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60193-4804
Mailing Address - Country:US
Mailing Address - Phone:224-420-1102
Mailing Address - Fax:
Practice Address - Street 1:880 W CENTRAL RD STE 3800
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-2369
Practice Address - Country:US
Practice Address - Phone:847-255-0900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-29
Last Update Date:2019-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125059452207L00000X
IL036138102207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology