Provider Demographics
NPI:1336461433
Name:BHARAT VAKHARIA MDPC
Entity Type:Organization
Organization Name:BHARAT VAKHARIA MDPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:BHARAT
Authorized Official - Middle Name:
Authorized Official - Last Name:VAKHARIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-773-0303
Mailing Address - Street 1:617 COLLEGE ST NW
Mailing Address - Street 2:SUTIE A
Mailing Address - City:HARTSELLE
Mailing Address - State:AL
Mailing Address - Zip Code:35640-2347
Mailing Address - Country:US
Mailing Address - Phone:256-773-0303
Mailing Address - Fax:256-773-0401
Practice Address - Street 1:617 COLLEGE ST NW
Practice Address - Street 2:SUTIE A
Practice Address - City:HARTSELLE
Practice Address - State:AL
Practice Address - Zip Code:35640-2347
Practice Address - Country:US
Practice Address - Phone:256-773-0303
Practice Address - Fax:256-773-0401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-17
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL19259305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1992896336OtherBHARAT VAKHARIA MD NPI