Provider Demographics
NPI:1932337060
Name:BHARTIA, ADITYA KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:ADITYA KUMAR
Middle Name:
Last Name:BHARTIA
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:PO BOX 3877
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60434-3877
Mailing Address - Country:US
Mailing Address - Phone:815-714-7171
Mailing Address - Fax:815-435-5080
Practice Address - Street 1:915 CLINGAN RIDGE DR NW
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37312-3729
Practice Address - Country:US
Practice Address - Phone:423-339-3340
Practice Address - Fax:423-339-9927
Is Sole Proprietor?:No
Enumeration Date:2009-06-26
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN55306207RN0300X
KY45192207RN0300X
AL33503207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ026424Medicaid
AL162300Medicaid