Provider Demographics
NPI:1194837716
Name:BHARDWAJ, NEERJA (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:NEERJA
Middle Name:
Last Name:BHARDWAJ
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:NEERJA
Other - Middle Name:B
Other - Last Name:ARYA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:8210 WALNUT HILL LN STE 310
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4419
Mailing Address - Country:US
Mailing Address - Phone:972-913-2850
Mailing Address - Fax:972-913-2975
Practice Address - Street 1:8210 WALNUT HILL LN STE 310
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4419
Practice Address - Country:US
Practice Address - Phone:972-913-2850
Practice Address - Fax:972-913-2975
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM7859207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC331778Medicaid
SCAA7692Medicare PIN