Individual
BHARAT M BAJANTRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11104 PARKVIEW CIRCLE DR STE 410, FORT WAYNE, IN 46845
(260) 266-5260
(260) 266-5279
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01082457A
IN
207RP1001X
Pulmonary Disease Physician
Primary
01082457A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/10/2012
Last updated
04/22/2025
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