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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