Healthcare Provider Details

I. General information

NPI: 1821088329
Provider Name (Legal Business Name): SANKAR BANDYOPADHYAY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: SANKAR BANDY MD

II. Dates (important events)

Enumeration Date: 10/26/2005
Last Update Date: 03/27/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 HOPE DR STE 1300
HERSHEY PA
17033-2036
US

IV. Provider business mailing address

PO BOX 858 MC A410
HERSHEY PA
17033-0858
US

V. Phone/Fax

Practice location:
  • Phone: 717-531-3828
  • Fax: 717-531-4694
Mailing address:
  • Phone: 800-243-1455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code204R00000X
TaxonomyElectrodiagnostic Medicine Physician
License Number036173888
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code2084N0008X
TaxonomyNeuromuscular Medicine (Psychiatry & Neurology) Physician
License Number036173888
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License Number036173888
License Number StateIL
# 4
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number036173888
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: