Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | ME134385 | FL |
N | 208200000X | Surgeon | 44801 | AZ |
N | 208600000X | Surgeon | 44801 | AZ |
NPI | 1013203181 |
---|---|
Provider Name | Ratan D Bhardwaj |
First Address | West Palm Beach, FL 33407-2450 |
Second Address | West Palm Beach, FL 33407-2450 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2011 |
Last Update Date | 17/03/2018 |