Bhaskar, Renuka

Bhaskar, Renuka is an individual health care provider with primary practice located at 105 Krispy Kreme Dr Ste 4, Bloomington IL 61704-3751. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as her primary health care specialty. Bhaskar, Renuka can be contacted via phone (309) 585-2837.

Contact Information

Primary practice address
105 Krispy Kreme Dr Ste 4 Bloomington IL 61704-3751
Phone: (309) 585-2837
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 036-107260 Illinois

Profile Details

NPI number 1235163056
LBN Legal business name Bhaskar, Renuka
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Dec 8th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235163056 NPPES
Illinois Other 1942501978 BLUECROSSBLUE SHIELD O
Illinois MEDICAID 1467751156 BLUECROSSBLUE SHIELD O

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