MEDICARE: DR. NEERJA BHARDWAJ MD, MPH

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
1	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	M7859	TX

General Provider Information

NPI Number	:	1194837716
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NEERJA BHARDWAJ MD, MPH

Provider Business Mailing Address
First Line	:	8210 WALNUT HILL LN STE 310
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-4419
Country	:	US
Telephone Number	:	972-913-2850
Fax Number	:	972-913-2975

Provider Business Practice Location Address
First Line	:	8210 WALNUT HILL LN STE 310
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-4419
Country	:	US
Telephone Number	:	972-913-2850
Fax Number	:	972-913-2975

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	09/23/2022

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