Provider Demographics
NPI:1891758777
Name:CHAND, BIPAN (MD)
Entity Type:Individual
Prefix:
First Name:BIPAN
Middle Name:
Last Name:CHAND
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 1:2160 SOUTH FIRST AVENUE
Mailing Address - Street 2:EMS BLDG. - ROOM 3224
Mailing Address - City:MAYWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60153
Mailing Address - Country:US
Mailing Address - Phone:708-327-2845
Mailing Address - Fax:708-327-3565
Practice Address - Street 1:2160 SOUTH FIRST AVENUE
Practice Address - Street 2:EMS BLDG. - ROOM 3224
Practice Address - City:MAYWOOD
Practice Address - State:IL
Practice Address - Zip Code:60153
Practice Address - Country:US
Practice Address - Phone:708-327-2845
Practice Address - Fax:708-327-3565
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036112719207RG0100X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2334432Medicaid