Provider Demographics
NPI:1558642108
Name:ARWADE, BHARATESHWAR PRABHAKAR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BHARATESHWAR
Middle Name:PRABHAKAR
Last Name:ARWADE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:843 VISTA MONTARA CIR
Mailing Address - Street 2:
Mailing Address - City:PACIFICA
Mailing Address - State:CA
Mailing Address - Zip Code:94044-4166
Mailing Address - Country:US
Mailing Address - Phone:650-359-5367
Mailing Address - Fax:
Practice Address - Street 1:843 VISTA MONTARA CIR
Practice Address - Street 2:
Practice Address - City:PACIFICA
Practice Address - State:CA
Practice Address - Zip Code:94044-4166
Practice Address - Country:US
Practice Address - Phone:650-359-5367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-08
Last Update Date:2014-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35321183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist