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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PRIYA BHAKTA, M.D.

Deactivated Sole Proprietor

General Surgery · MAYWOOD, IL

This NPI has been deactivated. The record was deactivated on July 15, 2022. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1801328042
Provider Type
Individual
Gender
Female
NPI Issued
Mar 28, 2017 (5.2986301369863 yrs)
Last Updated
Oct 12, 2023
Deactivated
Jul 15, 2022
Licenses
35145071 (OH)
036.153552 (IL)
Sole Proprietor
Yes

Practice Information

Address
2160 S 1ST AVE
MAYWOOD, IL, 601533328
Browse IL providers · Browse ZIP 60153
Phone
7082169000
Primary Specialty
General Surgery
208600000X
Additional Specialty
General Surgery

Other General Surgery Providers in MAYWOOD, IL

Name Credential NPI
HIEU TON-THAT MD 1457359259
DR. JAMES N LAU M.D. 1487632261
RASHEED HAMMADEH MD 1942270392
DR. CONSTANTINE GODELLAS M.D. 1740251222
STEVEN A DEJONG MD 1992779086
RAYMOND JOEHL MD 1194799296
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.