Organization
SANJAY BHARTI MD PLLC
Active
Organization
SANJAY BHARTI MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMA SUBBA RAO RAO KADIYALA (BUSINESS STRATEGY MANAGER)
(304) 363-3714
Entity
Organization
Contact information
Practice address
51 SOUTHLAND DR STE 2400, FAIRMONT, WV 26554-2247
(304) 363-3714
(304) 363-6850
Mailing address
51 SOUTHLAND DR STE 2400, FAIRMONT, WV 26554-2247
(304) 363-3714
(304) 363-6850
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19609
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000332087
MS BCBS
WV
05
—
0015224000
—
WV
01
—
001811060
BS PAY TO NUMBER
WV
01
—
110236001
RR MC
WV
05
—
3810016962
—
WV
01
—
5622758
AETNA
WV
Enumeration date
03/06/2007
Last updated
12/09/2024
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