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NPI Code Detail

MEDICARE: MALINA PATEL BHALLA MD

MEDICARE: MALINA PATEL BHALLA 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
1207R00000XInternal Medicine Physician036.176439IL
2207RA0201XAllergy & Immunology (Internal Medicine) Physician036.176439IL

General Provider Information

NPI Number : 1679196737
Entity Type Code : Individual
Provider Name (Legal Business Name) : MALINA PATEL BHALLA MD
Provider Business Mailing Address
First Line : 1710 MIDWEST CLUB PKWY
Second Line :
City : OAK BROOK
State : IL
Zip : 60523-2588
Country : US
Telephone Number : 214-418-6386
Fax Number :
Provider Business Practice Location Address
First Line : 10733 165TH ST
Second Line :
City : ORLAND PARK
State : IL
Zip : 60467-8713
Country : US
Telephone Number : 708-460-4949
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2020
Last Update Date : 01/12/2026

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Directions to “ MALINA PATEL BHALLA MD” Practice Location

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