IndividualActive
Renuka Bhaskar, MD
NPI 1235163056 · Clinical Pathology/Laboratory Medicine Physician · Bloomington, IL
Provider details
- NPI number
- 1235163056
- Entity type
- Individual
- Primary specialty
- Clinical Pathology/Laboratory Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 036-107260 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
105 Krispy Kreme Dr
Ste 4
Bloomington, IL 61704-3751
Phone: (309) 585-2837
Approximate (ZIP-level) locationGet directions
Mailing address
2200 Jacobssen Dr Ste B
Normal, IL 61761-5516
Registry dates
- Enumerated
- 2006-07-10
- Last updated
- 2023-12-08
- Certified
- 2023-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.