Healthcare Provider Details

I. General information

NPI: 1235229311
Provider Name (Legal Business Name): ABHINANDAN ANIL BHARNE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOAG DRIVE DEPT OF CRITICAL CARE
NEWPORT BEACH CA
92658-6100
US

IV. Provider business mailing address

1 HOAG DRIVE DEPARTMENT OF CRITICAL CARE
NEWPORT BEACH CA
92658-6100
US

V. Phone/Fax

Practice location:
  • Phone: 949-764-6876
  • Fax: 949-764-6874
Mailing address:
  • Phone: 949-764-6876
  • Fax: 949-764-6874

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA80880
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberA80880
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberA80880
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: