Individual
DR. SIDDHARTH BHARGAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 N 13TH AVE, UPLAND, CA 91786-4904
(800) 345-8979
(909) 949-3967
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-3937
(314) 362-3725
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A202244
CA
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
2024011050
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200145040
—
MO
Enumeration date
04/02/2020
Last updated
05/30/2025
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