Mitesh Vallabh Badiwala, M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

036.131995 Issued in IL

Practice address

201 E Huron St
Galter Pavilion, Suite 11-140
Chicago, IL 60611-3197

Phone

(312) 695-3662

NPI assigned

Apr 1, 2013

Last updated

Apr 9, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365465600000",
    "number": "1316280035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E HURON ST",
            "address_2": "GALTER PAVILION, SUITE 11-140",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E HURON ST",
            "address_2": "GALTER PAVILION, SUITE 11-140",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113197",
            "telephone_number": "312-695-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADIWALA",
        "first_name": "MITESH",
        "middle_name": "VALLABH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-01",
        "last_updated": "2013-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IL",
            "license": "036.131995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Badette, DPM, MHA
• Christine E Badger, LCPC
• Priya Badhwar, PSYD
• Neils Badia, DMD
• Brittney Badie
• Colleen Marie Badke, MD/MPH
• Aisha Badla, DNP, CPNP-AC
• Badlani Healthcare Associates MDSC
• Ravi Badlani, M.D.
• Sameer Badlani, MD

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.