Individual
DR. JAYARAM S. BHARADWAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1801 W ROMNEYA DR STE 203, ANAHEIM, CA 92801-1824
(714) 999-1465
(714) 999-1701
Mailing address
1801 W ROMNEYA DR STE 203, ANAHEIM, CA 92801-1824
(714) 999-1465
(714) 999-1701
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
2002001982
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10090
—
ND
05
—
177919001
—
AR
05
—
207308404
—
MO
01
—
715415
MEDICARE
ND
01
—
P00730797
RAILROAD MEDICARE
MO
Enumeration date
10/12/2005
Last updated
10/01/2015
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