Bhardwaj, Supriya
Bhardwaj, Supriya is an individual health care provider with primary practice located at 1325 N Litchfield Rd Ste 110 , Goodyear AZ 85395-1214. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Bhardwaj, Supriya can be contacted via phone (623) 935-9494.Contact Information
Primary practice address
1325 N Litchfield Rd Ste 110
Goodyear AZ 85395-1214
Phone: (623) 935-9494
Fax: (623) 935-9292
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 62175 | Arizona |
Profile Details
| NPI number | 1205333051 |
|---|---|
| LBN Legal business name | Bhardwaj, Supriya |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2018 |
| Last updated | Aug 11th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205333051 | NPPES |
| Arizona | Other | 62175 | ARIZONA MEDICAL BOARD |
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