Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 4301092196 | MI |
NPI | 1023246329 |
---|---|
Provider Name | Dr. Ashish Bhargava |
First Address | Grosse Pointe Woods, MI 48236-2898 |
Second Address | Grosse Pointe Woods, MI 48236-2898 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2009 |
Last Update Date | 10/01/2020 |