Individual
POOJA BHARDWAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4530 E MUIRWOOD DR, SUITE 105, PHOENIX, AZ 85048-7639
(480) 961-2303
(480) 961-0419
Mailing address
6811 E SUPERSTITION SPRINGS BLVD, MESA, AZ 85209-4001
(480) 641-4000
(480) 641-4069
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30650
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2232666
FIRST HEALTH
AZ
01
—
5538418
CCN HEALTH NETWORK
AZ
01
—
7649574
AETNA
AZ
05
—
825432
—
AZ
01
—
825432001
MERCYCARE
AZ
01
—
AZ0761270
BLUE CROSS BLUE SHIELD AZ
AZ
Enumeration date
10/05/2005
Last updated
01/07/2014
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