Individual
NIRMALA BHARADWAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3700 RIDGE RD, SUITE'B', BUFORD, GA 30519-4035
(678) 804-9398
(678) 804-9415
Mailing address
PO BOX 699, BUFORD, GA 30515-0699
(678) 804-9398
(678) 804-9415
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
044838
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000818375G
—
GA
Enumeration date
11/30/2005
Last updated
09/20/2012
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