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NPI Code Detail

MEDICARE: RASTRIYATA BHANDARI MD

MEDICARE: RASTRIYATA BHANDARI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
22084P0800XPsychiatry Physician77295AZ

General Provider Information

NPI Number : 1326717893
Entity Type Code : Individual
Provider Name (Legal Business Name) : RASTRIYATA BHANDARI MD
Provider Business Mailing Address
First Line : 2400 S AVENUE A
Second Line :
City : YUMA
State : AZ
Zip : 85364-7127
Country : US
Telephone Number : 928-344-2000
Fax Number :
Provider Business Practice Location Address
First Line : 7201 E 31ST PL
Second Line :
City : YUMA
State : AZ
Zip : 85365-8394
Country : US
Telephone Number : 928-336-5660
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2021
Last Update Date : 08/12/2025

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