Individual
MUKUL BHARGAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4485 N STATE ROAD 7, LAUDERDALE LAKES, FL 33319-5876
(954) 720-3188
(954) 586-2589
Mailing address
7154 N UNIVERSITY DR # 316, TAMARAC, FL 33321-2916
(954) 720-3188
(954) 586-2589
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME58399
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256929900
—
FL
Enumeration date
04/05/2006
Last updated
01/16/2020
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