Provider Demographics
NPI:1770523045
Name:VAKHARIA, BHARAT MANUBHAI (MD)
Entity type:Individual
Prefix:DR
First Name:BHARAT
Middle Name:MANUBHAI
Last Name:VAKHARIA
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 1:26273 W. US 12
Mailing Address - Street 2:P O BOX 7157
Mailing Address - City:STURGIS
Mailing Address - State:MI
Mailing Address - Zip Code:49091
Mailing Address - Country:US
Mailing Address - Phone:269-651-2011
Mailing Address - Fax:269-651-1775
Practice Address - Street 1:26273 US HIGHWAY 12
Practice Address - Street 2:
Practice Address - City:STURGIS
Practice Address - State:MI
Practice Address - Zip Code:49091-9702
Practice Address - Country:US
Practice Address - Phone:269-651-2011
Practice Address - Fax:269-651-1775
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2019-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301052325207R00000X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI07500069112Medicare ID - Type Unspecified
MIE45235Medicare UPIN
IN461810Medicare ID - Type Unspecified