Bardhan, Pooja
Bardhan, Pooja is an individual health care provider with primary practice located at 790 Church St Ne Suite 335, Marietta GA 30060-7282. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Bardhan, Pooja can be contacted via phone (770) 590-8311.Contact Information
Primary practice address
790 Church St Ne Suite 335
Marietta GA 30060-7282
Phone: (770) 590-8311
Fax: (770) 590-8313
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | TRN11073 | Florida |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 0101248148 | Virginia |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 075738 | Georgia |
Profile Details
| NPI number | 1962601344 |
|---|---|
| LBN Legal business name | Bardhan, Pooja |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2007 |
| Last updated | Dec 1st, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962601344 | NPPES |
| Georgia | MEDICAID | 003175923B | |
| Georgia | MEDICAID | 003175923A |
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