Individual
DR. RATANA GRACE BHARDWAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10150 SORRENTO VALLEY RD, SUITE 320, SAN DIEGO, CA 92121-1635
(858) 454-4235
Mailing address
P.O. BOX 2570, NEWBURY PARK, CA 91319-2570
(800) 386-8024
(805) 375-8903
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
C52766
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C527660
—
CA
Enumeration date
02/27/2007
Last updated
12/16/2010
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