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NPI Code Detail

MEDICARE: SANJAY BHARTI MD PLLC

MEDICARE: SANJAY BHARTI MD PLLC
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
1207R00000XInternal Medicine Physician19609WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1110236001OTHERWVRR MC
2000332087OTHERWVMS BCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
55622758OTHERWVAETNA
6001811060OTHERWVBS PAY TO NUMBER

General Provider Information

NPI Number : 1962532549
Entity Type Code : Organization
Provider Name (Legal Business Name) : SANJAY BHARTI MD PLLC
Provider Business Mailing Address
First Line : 51 SOUTHLAND DR STE 2400
Second Line :
City : FAIRMONT
State : WV
Zip : 26554-2247
Country : US
Telephone Number : 304-363-3714
Fax Number : 304-363-6850
Provider Business Practice Location Address
First Line : 51 SOUTHLAND DR STE 2400
Second Line :
City : FAIRMONT
State : WV
Zip : 26554-2247
Country : US
Telephone Number : 304-363-3714
Fax Number : 304-363-6850
Authorized Official
Title or Position : BUSINESS STRATEGY MANAGER
Name : RAMA SUBBA RAO RAO KADIYALA
Credential :
Telephone Number : 304-363-3714
Provider Enumeration Date : 03/06/2007
Last Update Date : 12/09/2024

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Directions to “SANJAY BHARTI MD PLLC ” Practice Location

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