Provider Demographics
NPI:1184981490
Name:BARLASKAR, FERDOUS (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:FERDOUS
Middle Name:
Last Name:BARLASKAR
Suffix:
Gender:
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1203 RIDGEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:VERNON HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60061-1093
Mailing Address - Country:US
Mailing Address - Phone:734-649-4907
Mailing Address - Fax:
Practice Address - Street 1:5141 W BROAD ST STE 130
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228-1984
Practice Address - Country:US
Practice Address - Phone:614-851-8469
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-12
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036147537207R00000X, 208M00000X
OH35.151046207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist