Provider Demographics
NPI:1134311533
Name:BHARDWAJ, NEETI (MD)
Entity Type:Individual
Prefix:DR
First Name:NEETI
Middle Name:
Last Name:BHARDWAJ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NEETI
Other - Middle Name:
Other - Last Name:MISHRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:500 UNIVERSITY DR
Mailing Address - Street 2:MAIL CODE H041
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-2360
Mailing Address - Country:US
Mailing Address - Phone:717-531-1306
Mailing Address - Fax:717-531-5785
Practice Address - Street 1:500 UNIVERSITY DR
Practice Address - Street 2:MAIL CODE H041
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-2360
Practice Address - Country:US
Practice Address - Phone:717-531-1306
Practice Address - Fax:717-531-5785
Is Sole Proprietor?:No
Enumeration Date:2007-08-10
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4474132080P0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0201XAllopathic & Osteopathic PhysiciansPediatricsPediatric Allergy/Immunology