Individual
AJAY KUMAR BHARGAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1601 E MICHIGAN AVE, SUITE 103, LANSING, MI 48912-2894
(517) 349-4268
(517) 349-4298
Mailing address
3530 E HIAWATHA DR, OKEMOS, MI 48864-4041
(517) 372-2700
(517) 349-4298
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501005343
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104552480
—
MI
01
—
650C312140
BCBS PROVIDER ID
MI
Enumeration date
08/21/2006
Last updated
04/28/2008
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