Individual
BHARGAV THANGALI VARADARAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
153 E MONTE PAINTER DR, FAYETTEVILLE, AR 72703-4002
(479) 601-2314
(888) 664-5545
Mailing address
PO BOX 3126, BENTONVILLE, AR 72712-7711
(479) 601-2314
(888) 664-5545
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
E6225
AR
208M00000X
Hospitalist Physician
Primary
E 6225
AR
390200000X
Student in an Organized Health Care Education/Training Program
MT187633
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178569001
—
AR
05
—
200260650A
—
OK
Enumeration date
11/26/2008
Last updated
02/11/2022
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