Individual
ADITYA BARDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2336 SANTA MONICA BLVD STE 304, SANTA MONICA, CA 90404-2067
(310) 998-4747
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
49662
MN
207R00000X
Internal Medicine Physician
D67823
MD
207RH0003X
Hematology & Oncology Physician
Primary
C195724
CA
207RX0202X
Medical Oncology Physician
247227
MA
207RX0202X
Medical Oncology Physician
C195724
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
483963000
—
MN
Enumeration date
02/09/2007
Last updated
07/01/2024
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