Individual
DR. MUKESH BHARGAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
25A JUNE ST, SUITE 111, SANFORD, ME 04073-2642
(207) 324-5968
(207) 490-1758
Mailing address
25A JUNE ST, SUITE 111, SANFORD, ME 04073-2642
(207) 324-5968
(207) 490-1758
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
014252
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134860000
—
ME
Enumeration date
06/15/2005
Last updated
09/18/2008
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