Basic Information
| Provider Information | |||||||||
| NPI: | 1235229311 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BHARNE | ||||||||
| FirstName: | ABHINANDAN | ||||||||
| MiddleName: | ANIL | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 HOAG DRIVE | ||||||||
| Address2: | DEPARTMENT OF CRITICAL CARE | ||||||||
| City: | NEWPORT BEACH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926586100 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9497646876 | ||||||||
| FaxNumber: | 9497646874 | ||||||||
| Practice Location | |||||||||
| Address1: | 1 HOAG DRIVE | ||||||||
| Address2: | DEPT OF CRITICAL CARE | ||||||||
| City: | NEWPORT BEACH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926586100 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9497646876 | ||||||||
| FaxNumber: | 9497646874 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/13/2006 | ||||||||
| LastUpdateDate: | 12/15/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | A80880 | CA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RC0200X | A80880 | CA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine | 207RP1001X | A80880 | CA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease |
ID Information
| ID | Type | State | Issuer | Description | AS689Z | 01 | CA | MEDICARE PTAN | OTHER | BB8123729 | 01 | CA | DEA | OTHER |