MEDICARE: SURESHA BANDARA MDPC

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	207RI0200X	Infectious Disease Physician

General Provider Information

NPI Number	:	1588445787
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SURESHA BANDARA MDPC

Provider Business Mailing Address
First Line	:	3147 CHESTNUT RUN DR
Second Line	:
City	:	BLOOMFIELD
State	:	MI
Zip	:	48302-1112
Country	:	US
Telephone Number	:	248-892-0316
Fax Number	:

Provider Business Practice Location Address
First Line	:	3147 CHESTNUT RUN DR
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48302-1112
Country	:	US
Telephone Number	:	248-892-0316
Fax Number	:

Authorized Official
Title or Position	:	PROVIDER
Name	:	SURESHA CHANDANI BANDARA
Credential	:
Telephone Number	:	248-892-0316

Provider Enumeration Date	:	10/12/2023
Last Update Date	:	01/10/2024

Similar Medicare Providers

1841457454 — DR. SURESHA CHANDANI BANDARA M.D.
Practice Location Address:

3147 CHESTNUT RUN DR
BLOOMFIELD HILLS, MI
48302-1112

Practice Phone: 248-892-0316
Practice Fax:

1528452281 — KARI DAWN COCHENOUR DPT, PT, LAT, ATC
Practice Location Address:

510 W SPRING ST
BLOOMFIELD, IN
47424-1112

Practice Phone: 812-699-2248
Practice Fax:

1154761799 — MR. ALEX JOHNNIE BUNCH LMFT
Practice Location Address:

23147 VENTURA BLVD
WOODLAND HILLS, CA
91364-1112

Practice Phone: 818-987-7707
Practice Fax:

1174291298 — CAITLIN MARI OLIVEROS
Practice Location Address:

23147 VENTURA BLVD STE 150
WOODLAND HILLS, CA
91364-1112

Practice Phone: 424-447-2727
Practice Fax:

1114682887 — DR. JULIAN ELIAHU GABBAY DDS
Practice Location Address:

9704 ROYCE CT
BEVERLY HILLS, CA
90210-1112

Practice Phone: 310-858-8642
Practice Fax:

1841977592 — GWENDOLYN RENEE HELTON LPCC-S, LCDC III
Practice Location Address:

1112 CRESTWOOD HILLS DR
VANDALIA, OH
45377-2715

Practice Phone: 937-478-8150
Practice Fax:

Directions to “SURESHA BANDARA MDPC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.