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DR. SUVRAT JAGANNIVAS BHARGAVE MD
>> Specialist >> Other Service ProvidersRegistrant NPI Number: 1720070501
Individual Registrant:DR. SUVRAT JAGANNIVAS BHARGAVE MD
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
120 HANDLEY RD SUITE 310 TYRONE, GA 30290-2177 US
Tel: 770-486-1011 Fax: 770-486-1067
Tel: 770-486-1011 Fax: 770-486-1067
Contact information for business:
120 HANDLEY RD SUITE 310 TYRONE, GA 30290-2177 US
Tel: 770-486-1011 Fax: 770-486-1067
Tel: 770-486-1011 Fax: 770-486-1067
Registration Information:
NPI: 1720070501
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 174400000X | Other Service Providers Specialist | GA | 047297 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
