| Bhupinder K. Valia Md Ser Corp | |
|
16115 La Salle St South Holland IL 60473-2064 | |
| (708) 331-8830 | |
| (708) 331-8860 |
| Full Name | Bhupinder K. Valia Md Ser Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 16115 La Salle St, South Holland, Illinois |
| Authorized Official Name and Position | Bhupinder K Valia (OWNER) |
| Authorized Official Contact | 7083318830 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhupinder K. Valia Md Ser Corp Po Box 1179 Matteson IL 60443-4179 Ph: (708) 747-5850 | Bhupinder K. Valia Md Ser Corp 16115 La Salle St South Holland IL 60473-2064 Ph: (708) 331-8830 |
| NPI Number | 1366507535 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 10/23/2007 |
| Medicare PECOS PAC ID | 3476570409 |
|---|---|
| Medicare Enrollment ID | O20051028000965 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366507535 | NPI | - | NPPES |
| 01635595 | Other | IL | BLUE SHIELD PPO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Illinois) | Primary |
| Provider Name | Bhupinder K Valia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194724872 PECOS PAC ID: 2567423221 Enrollment ID: I20041115000504 |
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