Provider Demographics
NPI:1093966376
Name:BHARDWAJ, MANOJ KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:MANOJ
Middle Name:KUMAR
Last Name:BHARDWAJ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6800 WEST LOOP S
Mailing Address - Street 2:SUITE 228
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4528
Mailing Address - Country:US
Mailing Address - Phone:832-412-1600
Mailing Address - Fax:832-412-1655
Practice Address - Street 1:6800 WEST LOOP S
Practice Address - Street 2:SUITE 228
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4528
Practice Address - Country:US
Practice Address - Phone:832-412-1600
Practice Address - Fax:832-412-1655
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-06
Last Update Date:2017-03-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM8531207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8L22934Medicare PIN