Individual
MS. NAMITA BHARDWAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
750 TOWNPARK LN NW, KAISER PERMANENTE TOWN PARK MEDICAL CENTER, KENNESAW, GA 30144-5579
(305) 243-2020
Mailing address
3495 PIEDMONT RD NE BLDG 91, ATTN TOBIE SHELLEY, ATLANTA, GA 30305-1717
(404) 365-0966
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
076641
GA
207W00000X
Ophthalmology Physician
ME123264
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2011
Last updated
01/10/2022
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