MEDICARE: ADARSH SUBODH BHARDWAJ MBBS

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	207UN0901X	Nuclear Cardiology Physician	MD60432791	WA
2	207RC0000X	Cardiovascular Disease Physician	60432791	WA

General Provider Information

NPI Number	:	1710149737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADARSH SUBODH BHARDWAJ MBBS

Provider Business Mailing Address
First Line	:	PO BOX 4825
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97208-4825
Country	:	US
Telephone Number	:	360-882-2778
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 NE 87TH AVE STE 210
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98664-4896
Country	:	US
Telephone Number	:	360-882-2778
Fax Number	:

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

Provider Enumeration Date	:	06/30/2008
Last Update Date	:	10/01/2024

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