MEDICARE: GUNJANA BHANDARI MD

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	207R00000X	Internal Medicine Physician	4301085839	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1417961137	OTHER	MI	BCBSM - BRONSON BATTLE CREEK

General Provider Information

NPI Number	:	1518923473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GUNJANA BHANDARI MD

Provider Business Mailing Address
First Line	:	601 JOHN ST
Second Line	:	BOX 42
City	:	KALAMAZOO
State	:	MI
Zip	:	49007-5341
Country	:	US
Telephone Number	:	269-341-8419
Fax Number	:	269-341-8743

Provider Business Practice Location Address
First Line	:	300 NORTH AVE
Second Line	:	4TH FLOOR NURSING ADMINISTRATION
City	:	BATTLE CREEK
State	:	MI
Zip	:	49017-3307
Country	:	US
Telephone Number	:	269-245-5780
Fax Number	:	269-245-5781

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2006
Last Update Date	:	02/15/2012

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