Sharma, Bansi D.

Sharma, Bansi D. is an individual health care provider with primary practice located at 17577 South Kedzie Ave Suite 109, Hazel Crest IL 60429. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Sharma, Bansi D. can be contacted via phone (708) 799-1780.

Contact Information

Primary practice address
17577 South Kedzie Ave Suite 109 Hazel Crest IL 60429
Phone: (708) 799-1780
Fax: (708) 957-5150
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036051949 Illinois

Profile Details

NPI number 1477507291
LBN Legal business name Sharma, Bansi D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Nov 22nd, 2013 - about 12 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 1477507291 NPPES
Illinois MEDICAID 036051949

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