Khanolkar, Kiran Bhaskar

Khanolkar, Kiran Bhaskar is an individual health care provider with primary practice located at 640 W Washington St , Pittsfield IL 62363-1350. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Khanolkar, Kiran Bhaskar can be contacted via phone (217) 285-2113.

Contact Information

Primary practice address
640 W Washington St Pittsfield IL 62363-1350
Phone: (217) 285-2113
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 33370 Iowa
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036147967 Illinois

Profile Details

NPI number 1902809536
LBN Legal business name Khanolkar, Kiran Bhaskar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Nov 10th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902809536 NPPES
Other 33626 BLUE CROSS BLUE SHIELD
MEDICAID 421527584003 BLUE CROSS BLUE SHIELD
MEDICAID O278374 BLUE CROSS BLUE SHIELD
MEDICAID 209202605 BLUE CROSS BLUE SHIELD
Other 421527584 BLUE CROSS BLUE SHIELD
Other 42152758407 BLUE CROSS BLUE SHIELD

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