Provider Demographics
NPI:1053590232
Name:BHARGAVA, RUCHI (PHD)
Entity type:Individual
Prefix:DR
First Name:RUCHI
Middle Name:
Last Name:BHARGAVA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:13403 PULVER PLACE
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878
Mailing Address - Country:US
Mailing Address - Phone:623-533-0610
Mailing Address - Fax:623-537-6014
Practice Address - Street 1:11904-F DARNESTOWN RD.
Practice Address - Street 2:
Practice Address - City:GAITHERSBURGH
Practice Address - State:MD
Practice Address - Zip Code:20878-6500
Practice Address - Country:US
Practice Address - Phone:301-363-1288
Practice Address - Fax:623-537-6014
Is Sole Proprietor?:No
Enumeration Date:2007-10-24
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ3915103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ118721Medicare PIN