Individual
DR. MANU BHARGAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.A.P.
Contact information
Practice address
101 MEDICAL PARK BLVD., SUITE A, PINEVILLE, LA 71360
(318) 561-0252
(318) 561-2454
Mailing address
6321 AUDUBON OAKS, ALEXANDRIA, LA 71301-2798
(318) 767-2276
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13747R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1435775
—
LA
Enumeration date
05/23/2005
Last updated
03/25/2014
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