Individual
AJAY BHARDWAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6780 MAYFIELD RD, MAYFIELD HTS, OH 44124-2203
(440) 312-4264
(440) 312-2232
Mailing address
6780 MAYFIELD RD, MAYFIELD HTS, OH 44124-2203
(440) 312-4264
(440) 312-2232
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
36107514
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361075142
—
IL
05
—
200470600
—
IN
Enumeration date
07/13/2006
Last updated
05/10/2013
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