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NPI 1205395704

NPI 1205395704 : NAUMIT S. BHANDARI P.A. : SHAVANO PARK, TX

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General NPI Number Information
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    NPI Number           |    1205395704
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    Entity Type          |    Organization 
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    Legal Business Name  |    NAUMIT S. BHANDARI P.A. 
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Dates
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    Enumeration Date     |    03/14/2019
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    Last Update Date     |    02/08/2021
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Provider Practice Location Address
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    Address Line         |    4450 LOCKHILL SELMA RD STE 102 
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    City                 |    SHAVANO PARK
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    State                |    TX
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    Zip                  |    78249-4394
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    Country              |    US
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    Telephone            |    210-635-0021
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    Fax                  |    210-635-0027
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Provider Business Mailing Address
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    Address Line         |    4450 LOCKHILL SELMA RD STE 102 
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    City                 |    SHAVANO PARK
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    State                |    TX
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    Zip                  |    78249-4394
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    Country              |    US
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    Telephone            |    210-635-0021
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    Fax                  |    210-635-0027
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. NAUMIT SRI INDRANEEL BHANDARI 
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    Credential           |    MD
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    Telephone            |    210-995-4925
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207LP2900X
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    Taxonomy Name        |    Pain Medicine (Anesthesiology) Physician
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    License Number       |    
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    License Number State |    
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