Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. AVTAR K RAZDAN I, M.D.
Active Sole ProprietorDR. AVTAR K RAZDAN I, M.D. is a Adolescent Medicine (Pediatrics) healthcare provider located in BOURBONNAIS, Illinois. NPI 1376536615 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine (Pediatrics) · BOURBONNAIS, IL
Registration Details
- NPI Number
- 1376536615
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 23, 2005 (21.01361636736 yrs)
- Last Updated
- Sep 28, 2012
- License
-
036048822 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
475 BROWN BLVDSUITE 102BOURBONNAIS, IL, 609142325Browse IL providers · Browse ZIP 60914
- Phone
- 8159390003
- Fax
- 8159354908
- Primary Specialty
-
Adolescent Medicine (Pediatrics)
2080A0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.