Provider Demographics
NPI:1255587457
Name:BHAGIA, POOJA R
Entity type:Individual
Prefix:
First Name:POOJA
Middle Name:R
Last Name:BHAGIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 W 34TH ST
Mailing Address - Street 2:APT 7B5
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-3097
Mailing Address - Country:US
Mailing Address - Phone:347-280-8187
Mailing Address - Fax:
Practice Address - Street 1:50 W 34TH ST
Practice Address - Street 2:APT 7B5
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3097
Practice Address - Country:US
Practice Address - Phone:347-280-8187
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-07
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY249875208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics