Provider Demographics
NPI:1457818098
Name:INNOVATIVE IV CARE, PLLC
Entity Type:Organization
Organization Name:INNOVATIVE IV CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAHUL
Authorized Official - Middle Name:K
Authorized Official - Last Name:KHARE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-799-8520
Mailing Address - Street 1:PO BOX 25108
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-2002
Mailing Address - Country:US
Mailing Address - Phone:773-270-5600
Mailing Address - Fax:773-661-1821
Practice Address - Street 1:3221 N SHEFFIELD AVE STE 100
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-8510
Practice Address - Country:US
Practice Address - Phone:773-270-5600
Practice Address - Fax:773-661-1821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-01
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty