Provider Demographics
NPI:1407166002
Name:BHARGAVA, KULDEEP K (PHD)
Entity Type:Individual
Prefix:DR
First Name:KULDEEP
Middle Name:K
Last Name:BHARGAVA
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27005 76TH AVE
Mailing Address - Street 2:RESEARCH BUILDING-4TH FLOOR
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-1402
Mailing Address - Country:US
Mailing Address - Phone:718-470-7080
Mailing Address - Fax:718-470-9247
Practice Address - Street 1:27005 76TH AVE
Practice Address - Street 2:RESEARCH BUILDING-4TH FLOOR
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-1402
Practice Address - Country:US
Practice Address - Phone:718-470-7080
Practice Address - Fax:718-470-9247
Is Sole Proprietor?:No
Enumeration Date:2010-10-15
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744R1102XOther Service ProvidersSpecialistResearch Study