Provider / Organization | NPI | Date Certified |
---|---|---|
SIDDHARTH BHARGAVA | 1043849078 | 2020-04-02 |
Siddharth Bhargava is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1043849078. Registration indicates Siddharth Bhargava is a provider of services with a specialization in Ophthalmology Glaucoma Specialist, Allopathic & Osteopathic Physicians (Ophthalmology, )
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | Dr. Siddharth Bhargava MD |
Practice Office Address | 4901 FOREST PARK AVE DEPT OPHTHALMOLOGY, 6TH FL SAINT LOUIS, MO US |
Practice Office Telephone | 3143623937 |
Practice Office Fax | 3143623725 |
Mailing Address | PO BOX 60352 SAINT LOUIS, MO 631600352 US |
Business Telephone | 3143623937 |
Business Fax | 3143623725 |
FHIR URL [] | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University |
Code | Practice | License No State |
---|---|---|
207WX0009X PRIMARY | Ophthalmology Glaucoma Specialist Allopathic & Osteopathic Physicians Ophthalmology | 2024011050
MO |