DR. MOHAN PHATAK M.D. NPI 1003841651

NPI Information

NPI: 1003841651
Provider Name: DR. MOHAN PHATAK, M.D.
Classification: Radiology - 2085B0100X
Entity Type: Individual

Specialization: Body Imaging

Address:
7435 W TALCOTT AVE
CHICAGO, IL
ZIP 60631
Phone: (773) 792-5138
Get Directions

DR. Mohan Phatak, M.D. is a body imaging radiology in Chicago, IL. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. DR. Mohan Phatak, M.D. NPI is 1003841651. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7435 W TALCOTT AVE
CHICAGO, IL
ZIP 60631-707
Phone: (773) 792-5138
Fax: (773) 792-5124

The enumeration date for this NPI number is 7/12/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	2085B0100X	Radiology	Body Imaging	ILLINOIS	Yes
2	2085N0700X	Radiology	Neuroradiology	ILLINOIS	X
3	2085N0904X	Radiology	Nuclear Radiology	ILLINOIS	X
4	2085P0229X	Radiology	Pediatric Radiology	ILLINOIS	X
5	2085R0202X	Radiology	Diagnostic Radiology	ILLINOIS	X
6	2085U0001X	Radiology	Diagnostic Ultrasound	ILLINOIS	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0001619902	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD-IL
2	036053629-1	MEDICAID	ILLINOIS
3	L36531	MEDICARE PIN	ILLINOIS
4	D89228	MEDICARE UPIN	ILLINOIS
5	362340	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	GROUP PROVIDER #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »