Provider Demographics
NPI:1760470926
Name:BHARADWAJ, SAVITHA J (MD)
Entity type:Individual
Prefix:DR
First Name:SAVITHA
Middle Name:J
Last Name:BHARADWAJ
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16300 SAND CANYON AVE STE 311
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-3703
Mailing Address - Country:US
Mailing Address - Phone:949-791-3101
Mailing Address - Fax:949-791-3112
Practice Address - Street 1:16300 SAND CANYON AVE STE 311
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-3703
Practice Address - Country:US
Practice Address - Phone:949-791-3101
Practice Address - Fax:949-791-3112
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002024881207R00000X
CAC138620207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO110245001OtherRAILROAD MEDICARE--TOPEKA
ND15925Medicaid
MO31963035OtherBLUECROSS BLUESHIELD
MO205939002Medicaid
MO205939010Medicaid
MO110245107OtherRR MEDICARE-ST. LOUIS
MO205939002Medicaid
ND15925Medicaid
MO31963035OtherBLUECROSS BLUESHIELD
MO110245001OtherRAILROAD MEDICARE--TOPEKA