Provider Demographics
NPI:1235229311
Name:BHARNE, ABHINANDAN ANIL (MD)
Entity Type:Individual
Prefix:DR
First Name:ABHINANDAN
Middle Name:ANIL
Last Name:BHARNE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HOAG DRIVE
Mailing Address - Street 2:DEPARTMENT OF CRITICAL CARE
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92658-6100
Mailing Address - Country:US
Mailing Address - Phone:949-764-6876
Mailing Address - Fax:949-764-6874
Practice Address - Street 1:1 HOAG DRIVE
Practice Address - Street 2:DEPT OF CRITICAL CARE
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92658-6100
Practice Address - Country:US
Practice Address - Phone:949-764-6876
Practice Address - Fax:949-764-6874
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA80880207R00000X, 207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAS689ZOtherMEDICARE PTAN
CABB8123729OtherDEA