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Contact Information

BHADRESHKUMAR R MANDANI, MD
701 N 1ST ST
SPRINGFIELD, IL62781
 Phone: 217-528-7541
 Fax: 217-606-3057
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for BHADRESHKUMAR R MANDANI · (Male)

NPI # 1386048502
Status Active
Credentials MD
Entity Individual
Enumeration date 10/17/2014
Last updated 07/15/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • IL License # 036140095
Hospital affiliation(s)
  • MEMORIAL MEDICAL CENTER - (Acute Care)
    701 N FIRST ST
    SPRINGFIELD, IL 62781
  • ST JOHNS HOSPITAL - (Acute Care)
    800 E CARPENTER ST
    SPRINGFIELD, IL 62769
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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