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NPI Code Detail

MEDICARE: DEEPTI BHANDARE MD

MEDICARE:   DEEPTI  BHANDARE  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
1207R00000XInternal Medicine Physician4301089682MI
2207RC0000XCardiovascular Disease PhysicianME115481FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568624427
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEEPTI BHANDARE MD
Provider Business Mailing Address
First Line : 4638 SUN'N LAKE BLVD
Second Line :
City : SEBRING
State : FL
Zip : 33872-2176
Country : US
Telephone Number : 863-386-0055
Fax Number : 863-386-0118
Provider Business Practice Location Address
First Line : 4638 SUN'N LAKE BLVD
Second Line :
City : SEBRING
State : FL
Zip : 33872
Country : US
Telephone Number : 863-386-0055
Fax Number : 863-386-0118
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2008
Last Update Date : 10/23/2019

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Directions to “ DEEPTI BHANDARE MD” Practice Location

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