Provider Demographics
NPI:1154520534
Name:DEKA, BHARATI (MD)
Entity type:Individual
Prefix:DR
First Name:BHARATI
Middle Name:
Last Name:DEKA
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 1:2 TODD ST
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-7127
Mailing Address - Country:US
Mailing Address - Phone:908-262-7109
Mailing Address - Fax:
Practice Address - Street 1:1553 STATE ROUTE 27 STE 2100
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-3995
Practice Address - Country:US
Practice Address - Phone:908-262-7109
Practice Address - Fax:908-829-4408
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-16
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07206700207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease