Provider Demographics
NPI:1689602906
Name:BHARGAVA, NALINI (MD)
Entity Type:Individual
Prefix:DR
First Name:NALINI
Middle Name:
Last Name:BHARGAVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:817 MAIDEN CHOICE LN
Mailing Address - Street 2:SUITE 350
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-3680
Mailing Address - Country:US
Mailing Address - Phone:410-242-9001
Mailing Address - Fax:410-242-9003
Practice Address - Street 1:817 MAIDEN CHOICE LN
Practice Address - Street 2:SUITE 350
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21228-3680
Practice Address - Country:US
Practice Address - Phone:410-242-9001
Practice Address - Fax:410-242-9003
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD19473173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine