MEDICARE: DR. FERDOUS BARLASKAR M.D., PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	036147537	IL
2	208M00000X	Hospitalist Physician	036147537	IL
3	207RH0003X	Hematology & Oncology Physician	35.151046	OH

General Provider Information

NPI Number	:	1184981490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FERDOUS BARLASKAR M.D., PH.D.

Provider Business Mailing Address
First Line	:	1203 RIDGEWOOD CT
Second Line	:
City	:	VERNON HILLS
State	:	IL
Zip	:	60061-1093
Country	:	US
Telephone Number	:	734-649-4907
Fax Number	:

Provider Business Practice Location Address
First Line	:	5141 W BROAD ST STE 130
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43228-1984
Country	:	US
Telephone Number	:	614-851-8469
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2012
Last Update Date	:	02/25/2025

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