Healthcare Provider Details

I. General information

NPI: 1811106321
Provider Name (Legal Business Name): AKSHAY BHANDARI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 07/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 ALTON RD SUITE 540
MIAMI BEACH FL
33140-2800
US

IV. Provider business mailing address

4300 ALTON RD 2ND FLOOR ASCHER BUILDING
MIAMI BEACH FL
33140-2800
US

V. Phone/Fax

Practice location:
  • Phone: 305-674-2499
  • Fax: 305-674-2899
Mailing address:
  • Phone: 305-674-2841
  • Fax: 305-535-7919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number4301082481
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberME111020
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: