Healthcare Provider Details

I. General information

NPI: 1821070947
Provider Name (Legal Business Name): BHARAT G ADROJA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2005
Last Update Date: 05/25/2023
Certification Date: 05/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 BELLEFONTE AVE SUITE 105
LOCK HAVEN PA
17745-2754
US

IV. Provider business mailing address

1085 REDWING ROAD
LOCK HAVEN PA
17745-1504
US

V. Phone/Fax

Practice location:
  • Phone: 570-748-1550
  • Fax: 570-748-1510
Mailing address:
  • Phone: 570-606-3508
  • Fax: 570-748-1510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD073482L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD073482L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: