Provider Demographics
NPI:1174574073
Name:BHATT, NIKHIL J (MD)
Entity type:Individual
Prefix:
First Name:NIKHIL
Middle Name:J
Last Name:BHATT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2050 LARKIN AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123
Mailing Address - Country:US
Mailing Address - Phone:847-742-7458
Mailing Address - Fax:847-742-0191
Practice Address - Street 1:2050 LARKIN AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123
Practice Address - Country:US
Practice Address - Phone:847-742-7458
Practice Address - Fax:847-742-0191
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL04500559OtherBCBS
IL04500559OtherBCBS
C40589Medicare UPIN