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Individual

BHARATH GANESH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
909 WALNUT ST FL 3, PHILADELPHIA, PA 19107-5211
(215) 955-7000
Mailing address
909 WALNUT ST FL 3, PHILADELPHIA, PA 19107-5211
(215) 955-7000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2016016982
MO
207R00000X
Internal Medicine Physician
Primary
MD467896
PA

Other

Enumeration date
06/14/2016
Last updated
04/13/2020
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