Arjun Bagai, DO
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Kankakee, IL
NPI 1548016751 · NPPES record last updated Apr 29, 2024
Key facts
- NPI
- 1548016751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 350 N Wall St
Kankakee, IL 60901-2901 - Phone
- (815) 928-6274
- NPI assigned
- Apr 29, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Osteopathy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
350 N Wall St
Kankakee, IL 60901-2901
Mailing address
350 N Wall St
Kankakee, IL 60901-2901
Phone (815) 928-6274
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All providers in Kankakee, IL · Student in an Organized Health Care Education/Training Program in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.