Healthcare Provider Details

I. General information

NPI: 1215254792
Provider Name (Legal Business Name): ASEEM KUMAR BHANDARI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2010
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4750 WATERS AVE STE 500
SAVANNAH GA
31404-6200
US

IV. Provider business mailing address

4750 WATERS AVENUE SUITE 500
SAVANNAH GA
31404-6261
US

V. Phone/Fax

Practice location:
  • Phone: 912-352-8346
  • Fax: 912-355-5515
Mailing address:
  • Phone: 912-352-8346
  • Fax: 912-355-5515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number82941
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number074806
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number25IA12826500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: