Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RAUNAK SUNIL KHISTY
Active Sole ProprietorRAUNAK SUNIL KHISTY is a Psychiatric Neurology healthcare provider located in BRADLEY, Illinois. NPI 1558620146 is currently active in the NPPES registry. Verify at CMS.
Psychiatric Neurology · BRADLEY, IL
Registration Details
- NPI Number
- 1558620146
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 16, 2012 (14.240651597143 yrs)
- Last Updated
- Oct 9, 2024
- Licenses
-
036144216 (IL)036144216 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
400 S KENNEDY DR STE 300BRADLEY, IL, 609152682Browse IL providers · Browse ZIP 60915
- Phone
- 8159371237
- Fax
- 8159330662
- Primary Specialty
-
Psychiatric Neurology
2084P0804X
- Additional Specialty
- Psychiatry
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.