Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SUVRAT JAGANNIVAS BHARGAVE, MD
Deactivated Sole ProprietorSpecialist · TYRONE, GA
This NPI has been deactivated.
The record was deactivated on March 23, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1720070501
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 18, 2005 (0.59452054794521 yrs)
- Last Updated
- Mar 30, 2012
- Deactivated
- Mar 23, 2006
- License
-
047297 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
120 HANDLEY RDSUITE 310TYRONE, GA, 302902177Browse GA providers · Browse ZIP 30290
- Phone
- 7704861011
- Fax
- 7704861067
- Primary Specialty
-
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.