Individual
NIMESH BHARGAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.D.
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(203) 576-6000
Mailing address
42 SCENIC HILLS DR, POUGHKEEPSIE, NY 12603-3723
(845) 613-3150
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000744
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001034
LICENSE
NY
01
—
809485
NATIONAL REGISTRY
CT
Enumeration date
01/02/2007
Last updated
07/08/2007
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