Provider Demographics
NPI:1477560324
Name:BHARGAVA, ABHA (MD)
Entity type:Individual
Prefix:DR
First Name:ABHA
Middle Name:
Last Name:BHARGAVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:21 EXETER DR
Mailing Address - Street 2:
Mailing Address - City:MARLBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:07746-2732
Mailing Address - Country:US
Mailing Address - Phone:732-316-5100
Mailing Address - Fax:732-761-9179
Practice Address - Street 1:200 PERRINE RD
Practice Address - Street 2:SUITE 206
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-2842
Practice Address - Country:US
Practice Address - Phone:732-316-5100
Practice Address - Fax:732-761-9179
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA64691207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJHO7798Medicare UPIN