Organization
R V BHARNE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJENDRA V BHARNE MD (PRESIDENT OF THE CORPORATION)
(270) 988-3399
Entity
Organization
Contact information
Practice address
501 N HAYDEN AVENUE, SALEM, KY 42078-0376
(270) 988-3399
Mailing address
PO BOX 376, SALEM, KY 42078-0376
(270) 988-3399
(270) 988-4059
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18628
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000046008
ANTHEM
—
05
—
64186281
—
KY
Enumeration date
12/22/2006
Last updated
08/22/2020
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