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Individual

ANISH BHARDWAJ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-0005
(409) 772-2222
Mailing address
PO BOX 64382, BALTIMORE, MD 21264-4382

Taxonomy

Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
D46058
MD
2084A2900X
Neurocritical Care Physician
Primary
P8118
TX
2084N0400X
Neurology Physician
D46058
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
149691300
MD
Enumeration date
04/21/2006
Last updated
04/03/2024
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