Doctor Name: | AJAY KUMAR BHARGAVA |
NPI Number: | 1669588018 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 5501005343 |
Business Practice Address: | 1601 E Michigan Ave Suite 103 Lansing, MI - 489122894 |
Business Phone Number: | 5173494268 |
Business Fax Number: | 5173494298 |
Mailing Address: | 3530 E Hiawatha Dr, OKEMOS |
State: | MI |
Postal Code: | 488644041 |
Phone Number: | 5173722700 |
Fax Number: | 5173494298 |
NPI Enumeration Date: | 08/21/2006 |
NPI Last Update Date: | 04/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501005343 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |