Individual
NIKHIL BHARDWAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21355 E DIXIE HWY, SUITE 102, AVENTURA, FL 33180-1238
(305) 932-2552
(305) 932-2503
Mailing address
1636 NE 194TH ST, NORTH MIAMI BEACH, FL 33179-6449
(305) 792-7566
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME 79930
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME79930
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME79930
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261864800
—
FL
01
—
273491
AV MED
FL
01
—
35713
BLUE CROSS BLUE SHIELD
FL
01
—
39509
NEIGHBORHOOD
FL
01
—
7469122
AETNA PROVIDER NUMBER
FL
01
—
H12007
VISTA
FL
01
—
N191965
PREFERRED CARE
FL
01
—
UNITED HEALTH
4800593
FL
Enumeration date
03/27/2006
Last updated
10/22/2010
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