MEDICARE: SANDEEP NARAYAN BHARADWAJ

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	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	W2482	TX
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	125.075613	IL

General Provider Information

NPI Number	:	1457806614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDEEP NARAYAN BHARADWAJ

Provider Business Mailing Address
First Line	:	240 E HURON ST
Second Line	:	SUITE 1-200
City	:	CHICAGO
State	:	IL
Zip	:	60611-2909
Country	:	US
Telephone Number	:	312-503-7975
Fax Number	:

Provider Business Practice Location Address
First Line	:	240 E HURON ST
Second Line	:	SUITE 1-200
City	:	CHICAGO
State	:	IL
Zip	:	60611-2909
Country	:	US
Telephone Number	:	312-503-7975
Fax Number	:

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

Provider Enumeration Date	:	08/17/2016
Last Update Date	:	12/09/2025

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