MEDICARE: NAUMIT S. BHANDARI P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP2900X	Pain Medicine (Anesthesiology) Physician

General Provider Information

NPI Number	:	1205395704
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NAUMIT S. BHANDARI P.A.

Provider Business Mailing Address
First Line	:	4450 LOCKHILL SELMA RD STE 102
Second Line	:
City	:	SHAVANO PARK
State	:	TX
Zip	:	78249-4394
Country	:	US
Telephone Number	:	210-635-0021
Fax Number	:	210-635-0027

Provider Business Practice Location Address
First Line	:	4450 LOCKHILL SELMA RD STE 102
Second Line	:
City	:	SHAVANO PARK
State	:	TX
Zip	:	78249-4394
Country	:	US
Telephone Number	:	210-635-0021
Fax Number	:	210-635-0027

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. NAUMIT SRI INDRANEEL BHANDARI
Credential	:	MD
Telephone Number	:	210-995-4925

Provider Enumeration Date	:	03/14/2019
Last Update Date	:	02/08/2021

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