Individual
HARVEEN BAL BERGQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
900 23RD ST NW, WASHINGTON, DC 20037-2342
(202) 741-2911
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(213) 977-2121
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
000000
NJ
207P00000X
Emergency Medicine Physician
Primary
A148663
CA
208600000X
Surgery Physician
MT200429
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT200429
PA
Other
Enumeration date
06/14/2011
Last updated
05/02/2023
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