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NPI Code Detail

MEDICARE: HANSA BHARGAVA MD

MEDICARE: HANSA BHARGAVA MD
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 Physician052423GA

General Provider Information

NPI Number : 1205855343
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANSA BHARGAVA MD
Provider Business Mailing Address
First Line : 2043 MASON MILL RD
Second Line :
City : DECATUR
State : GA
Zip : 30033-4009
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2201 MOUNT ZION PKWY
Second Line :
City : MORROW
State : GA
Zip : 30260-3312
Country : US
Telephone Number : 404-785-8660
Fax Number : 404-785-8730
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 07/08/2007

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