Provider Demographics
NPI:1801612759
Name:SANJAY BHARTI MD PLLC
Entity type:Organization
Organization Name:SANJAY BHARTI MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANJAY
Authorized Official - Middle Name:RANJIT
Authorized Official - Last Name:BHARTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:304-476-8306
Mailing Address - Street 1:51 SOUTHLAND DR
Mailing Address - Street 2:
Mailing Address - City:FAIRMONT
Mailing Address - State:WV
Mailing Address - Zip Code:26554-0129
Mailing Address - Country:US
Mailing Address - Phone:304-363-3714
Mailing Address - Fax:304-363-6850
Practice Address - Street 1:411 MORGANTOWN ST
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:WV
Practice Address - Zip Code:26537-1095
Practice Address - Country:US
Practice Address - Phone:304-329-0555
Practice Address - Fax:304-329-0556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-25
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty