Individual
DR. POOJA BARDHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
790 CHURCH ST NE, SUITE 335, MARIETTA, GA 30060-7282
(770) 590-8311
(770) 590-8313
Mailing address
1835 SAVOY DR, SUITE 300, ATLANTA, GA 30341-1072
(770) 590-8311
(770) 590-8313
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
0101248148
VA
207RH0003X
Hematology & Oncology Physician
Primary
075738
GA
207RH0003X
Hematology & Oncology Physician
TRN11073
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003175923A
—
GA
05
—
003175923B
—
GA
Enumeration date
07/16/2007
Last updated
12/01/2020
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