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Nikolas Devenderan Baksh, MD
Student in an Organized Health Care Education/Training Program in Maywood, Illinois
NPI 1306232467

Nikolas Devenderan Baksh is a Student in an Organized Health Care Education/Training Program based in Portland, IL. Nikolas Devenderan Baksh practices in Maywood, IL and has the professional credentials of MD. The NPI Number for Nikolas Devenderan Baksh is 1306232467 and holds a License No. 036159741 (Illinois).

The current practice location address for Nikolas Devenderan Baksh is 2160 S 1St Ave, Maywood, IL and can be reached out via phone at 708-216-9000. You can also correspond with Nikolas Devenderan Baksh through the mailing address at 3181 SW SAM JACKSON PARK RD # L-579, PORTLAND, OR - 97239-3011 (mailing address contact number: 503-494-8211).

Location: 2160 S 1St Ave, Maywood, IL, 97239-3011
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306232467
Provider Name
Nikolas Devenderan Baksh
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2160 S 1St Ave, Maywood, IL, 97239-3011
Phone Number
708-216-9000
Fax Number
Provider Enumeration Date
04/15/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
708-216-9000
Fax Number
person
Provider Business Mailing Address Details
Address
3181 Sw Sam Jackson Park Rd # L-579
City
Portland
State
Oregon
Zip
97239-3011
Phone Number
503-494-8211
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Orthopedic Surgery of the Spine
Taxonomy
207XS0117X
License No.
()
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, orthopedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
036159741 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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