MEDICARE: DR. NAUMIT SRI INDRANEEL BHANDARI M.D.

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	207L00000X	Anesthesiology Physician	P9521	TX
2	208VP0000X	Pain Medicine Physician	P9521	TX

General Provider Information

NPI Number	:	1710207360
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NAUMIT SRI INDRANEEL BHANDARI M.D.

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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2010
Last Update Date	:	02/08/2021

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