Individual
DR. AMITABH K. BHARADWAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1320 TARA HILLS DR STE H, PINOLE, CA 94564-2532
(510) 724-1100
(510) 724-1104
Mailing address
1320 TARA HILLS DR STE H, PINOLE, CA 94564-2532
(510) 724-1100
(510) 724-1104
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A101201
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001976049
—
NJ
Enumeration date
05/03/2006
Last updated
06/03/2013
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