Pranavi Sanka Bavishi
Internal Medicine, Hematology & Oncology in Chicago, IL. Individual provider (NPI-1).
NPI number1164002002
StatusActive
Last updated in NPPESJun 10, 2024
Details
- NPI
- 1164002002
- Entity type
- Individual (NPI-1)
- Name
- Pranavi Sanka Bavishi
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 14, 2021
- Certification date
- Jun 10, 2024
- Last updated
- Jun 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RH0003X | Internal Medicine, Hematology & Oncology | 036.170167 | IL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | |
| 390200000X | Student in an Organized Health Care Education/Training Program | LP05319 | RI |
Practice location
251 E Huron StChicago, IL 60611-3055
Phone 312-926-2000
Mailing address
251 E Huron StChicago, IL 60611-3055
Phone 312-926-2000
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