Doctor Name: | DR. PARAG BHARADWAJ |
NPI Number: | 1417028184 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | A79755 |
Business Practice Address: | 1060 First Colonial Rd 1st Fl Virginia Beach, VA - 234543002 |
Business Phone Number: | 7573956116 |
Business Fax Number: | 7573956291 |
Mailing Address: | 1060 First Colonial Rd, 1st Fl VIRGINIA BEACH |
State: | VA |
Postal Code: | 234543002 |
Phone Number: | 7573956116 |
Fax Number: | 7573956291 |
NPI Enumeration Date: | 11/13/2006 |
NPI Last Update Date: | 02/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | A79755 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |