| Ashwani Bhardwaj, M.D. Inc. | |
|
15211 Vanowen St Ste 205 Van Nuys CA 91405-3619 | |
| (818) 778-6332 | |
| (818) 778-6322 |
| Full Name | Ashwani Bhardwaj, M.D. Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 15211 Vanowen St Ste 205, Van Nuys, California |
| Authorized Official Name and Position | Maribel Martinez (BILLER) |
| Authorized Official Contact | 8187786332 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashwani Bhardwaj, M.D. Inc. 15211 Vanowen St Ste 205 Van Nuys CA 91405-3619 Ph: (818) 778-6332 | Ashwani Bhardwaj, M.D. Inc. 15211 Vanowen St Ste 205 Van Nuys CA 91405-3619 Ph: (818) 778-6332 |
| NPI Number | 1306269535 |
|---|---|
| Provider Enumeration Date | 01/23/2014 |
| Last Update Date | 01/23/2014 |
| Medicare PECOS PAC ID | 5395279624 |
|---|---|
| Medicare Enrollment ID | O20241108003827 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306269535 | NPI | - | NPPES |
| G25234 | Other | CA | UPIN |
| A54408 | Other | CA | LIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A54408 (California) | Primary |
| Provider Name | Ashwani Bhardwaj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457427197 PECOS PAC ID: 2466551213 Enrollment ID: I20110106000379 |
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