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NPI Code Detail

MEDICARE: DR. SUNITA BHANOT M.D.

MEDICARE:  DR. SUNITA  BHANOT  M.D.
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
1207Q00000XFamily Medicine Physician18897PR

General Provider Information

NPI Number : 1740684216
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUNITA BHANOT M.D.
Provider Business Mailing Address
First Line : 7758 LOWER GATEWAY LOOP
Second Line : APT 1822
City : ORLANDO
State : FL
Zip : 32827-7215
Country : US
Telephone Number : 407-456-0323
Fax Number :
Provider Business Practice Location Address
First Line : 7758 LOWER GATEWAY LOOP
Second Line : APT 1822
City : ORLANDO
State : FL
Zip : 32827-7215
Country : US
Telephone Number : 407-456-0323
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2014
Last Update Date : 10/13/2014

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Directions to “ DR. SUNITA BHANOT M.D.” Practice Location

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