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NPI Code Detail

MEDICARE: MUNISHA MEHRA BHATIA MD

MEDICARE: MUNISHA MEHRA BHATIA MD
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
1208000000XPediatrics Physician036.102827IL
2208000000XPediatrics Physician036102827IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497739049
Entity Type Code : Individual
Provider Name (Legal Business Name) : MUNISHA MEHRA BHATIA MD
Provider Business Mailing Address
First Line : PO BOX 7010
Second Line :
City : DEERFIELD
State : IL
Zip : 60015-7010
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1500 W KENNEDY RD
Second Line :
City : LAKE FOREST
State : IL
Zip : 60045-1099
Country : US
Telephone Number : 312-933-6979
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2005
Last Update Date : 02/07/2025

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Directions to “ MUNISHA MEHRA BHATIA MD” Practice Location

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