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NPI Code Detail

MEDICARE: DR. MANU BHARGAVA M.D., F.A.A.P.

MEDICARE: DR. MANU BHARGAVA M.D., F.A.A.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician13747RLA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053314187
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MANU BHARGAVA M.D., F.A.A.P.
Provider Business Mailing Address
First Line : 6321 AUDUBON OAKS
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71301-2798
Country : US
Telephone Number : 318-767-2276
Fax Number :
Provider Business Practice Location Address
First Line : 101 MEDICAL PARK BLVD.
Second Line : SUITE A
City : PINEVILLE
State : LA
Zip : 71360
Country : US
Telephone Number : 318-561-0252
Fax Number : 318-561-2454
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 03/25/2014

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