Provider Demographics
NPI:1053505131
Name:BHARTI, RACHNA (MD)
Entity type:Individual
Prefix:
First Name:RACHNA
Middle Name:
Last Name:BHARTI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 BENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14214-1761
Mailing Address - Country:US
Mailing Address - Phone:716-986-9199
Mailing Address - Fax:716-342-2340
Practice Address - Street 1:38 HERITAGE CT
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14094-3616
Practice Address - Country:US
Practice Address - Phone:716-478-6655
Practice Address - Fax:716-342-2340
Is Sole Proprietor?:No
Enumeration Date:2007-08-31
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN6177207Q00000X
VA0101243104207Q00000X, 208M00000X
NY301539207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX080462703Medicaid
NY301539OtherNY LICENSE
KY7100047860Medicaid
NY07762912Medicaid
WV3810013447Medicaid