Healthcare Provider Details

I. General information

NPI: 1730611229
Provider Name (Legal Business Name): SAWINA BHANDARI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2017
Last Update Date: 08/19/2020
Certification Date: 08/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 DUTCH RIDGE RD
BEAVER PA
15009-9727
US

IV. Provider business mailing address

226 LAKEVIEW DR
MOON TOWNSHIP PA
15108-9774
US

V. Phone/Fax

Practice location:
  • Phone: 724-728-7000
  • Fax:
Mailing address:
  • Phone: 412-848-9070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD471660
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: