Individual
DR. RAKESH K. BHARDWAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8945 SPRINGFIELD BLVD, QUEENS VILLAGE, NY 11427-2513
(718) 217-2300
(718) 740-5374
Mailing address
8945 SPRINGFIELD BLVD, QUEENS VILLAGE, NY 11427-2513
(718) 217-2300
(718) 740-5374
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
187625
NY
207RP1001X
Pulmonary Disease Physician
Primary
187625
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01558112
—
NY
Enumeration date
11/03/2006
Last updated
12/30/2010
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