Provider Demographics
NPI:1578572590
Name:BHARGAVA, HEMA P (MD)
Entity Type:Individual
Prefix:DR
First Name:HEMA
Middle Name:P
Last Name:BHARGAVA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:100 E PENN SQ
Mailing Address - Street 2:9TH FLOOR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-3323
Mailing Address - Country:US
Mailing Address - Phone:267-425-9234
Mailing Address - Fax:267-425-9299
Practice Address - Street 1:2516 STOCKTON BLVD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2208
Practice Address - Country:US
Practice Address - Phone:916-734-4572
Practice Address - Fax:916-734-5533
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2020-09-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAC1567032080P0202X
NJ25MA04296500208000000X, 2080P0202X
PAMD033251E208000000X, 2080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015209180004Medicaid
NJ2143208Medicaid
PA786302Medicare PIN
E13250Medicare UPIN
PA001678010Medicaid