Healthcare Provider Details

I. General information

NPI: 1194777094
Provider Name (Legal Business Name): RANJAN PRAKASH BHANDARI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 10/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 WELDAY AVE
WINTERSVILLE OH
43953-3779
US

IV. Provider business mailing address

100 WELDAY AVE
WINTERSVILLE OH
43953-3779
US

V. Phone/Fax

Practice location:
  • Phone: 740-264-5770
  • Fax: 740-264-5780
Mailing address:
  • Phone: 740-264-5770
  • Fax: 740-264-5780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number061547
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number18112
License Number StateWV
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD062692L
License Number StatePA
# 4
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number35061547
License Number StateOH
# 5
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD062692L
License Number StatePA
# 6
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number18112
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: