| Kyle Raj Bhatia, MD | |
|
550 E Devon Ave Ste 200, Itasca, IL 60143-2639 | |
| (864) 625-3376 | |
| Not Available |
| Full Name | Kyle Raj Bhatia |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 550 E Devon Ave Ste 200, Itasca, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942838289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 036169158 (Illinois) | Primary |
| Entity Name | Oak Dermatology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487168258 PECOS PAC ID: 7810256849 Enrollment ID: O20180118002702 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Raj Bhatia, MD 550 E Devon Ave Ste 200, Itasca, IL 60143-2639 Ph: (864) 625-3376 | Kyle Raj Bhatia, MD 550 E Devon Ave Ste 200, Itasca, IL 60143-2639 Ph: (864) 625-3376 |
Ashish C Bhatia, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 550 E Devon Ave Ste 200, Itasca, IL 60143 Phone: 864-625-3376 Fax: 855-792-2250 | |
Te Shao Hsu, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 550 E Devon Ave Ste 200, Itasca, IL 60143 Phone: 864-625-3376 Fax: 855-792-2250 | |
Nour Al-hadidi, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 550 E Devon Ave Ste 200, Itasca, IL 60143 Phone: 864-625-3376 |