Individual
DR. SANJAY BHARGAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 MISTLETOE BLVD, SUITE 100, FORT WORTH, TX 76104-4050
(817) 338-1300
(682) 747-5141
Mailing address
1900 MISTLETOE BLVD, SUITE 100, FORT WORTH, TX 76104-4050
(817) 338-1300
(682) 747-5141
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
N5573
TX
207RI0011X
Interventional Cardiology Physician
Primary
N5573
TX
207UN0901X
Nuclear Cardiology Physician
N5573
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286774903
—
TX
01
—
P00967363
MEDICARE RAILROAD
TX
Enumeration date
06/05/2006
Last updated
02/04/2020
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