Provider Demographics
NPI:1508065749
Name:BHARTIA, SANJAY MANISH (MD)
Entity Type:Individual
Prefix:DR
First Name:SANJAY
Middle Name:MANISH
Last Name:BHARTIA
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 1:7050 E SUNRISE DR
Mailing Address - Street 2:#12201
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85750-0862
Mailing Address - Country:US
Mailing Address - Phone:818-448-0762
Mailing Address - Fax:
Practice Address - Street 1:1501 N CAMPBELL AVE # PO
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85724-0001
Practice Address - Country:US
Practice Address - Phone:520-626-7000
Practice Address - Fax:520-626-6020
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-17
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ76478207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine