Provider Demographics
NPI:1902894322
Name:BHARILL, PARTH (MD)
Entity Type:Individual
Prefix:
First Name:PARTH
Middle Name:
Last Name:BHARILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 LONG MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-1863
Mailing Address - Country:US
Mailing Address - Phone:412-968-0408
Mailing Address - Fax:
Practice Address - Street 1:1501 LOCUST ST
Practice Address - Street 2:SUITE 301
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-5136
Practice Address - Country:US
Practice Address - Phone:412-232-7572
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD049600L207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012957610008Medicaid
PA196420Medicare ID - Type Unspecified
PA0012957610008Medicaid