MEDICARE: DR. ROHIT BHANDARI

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
1	207R00000X	Internal Medicine Physician	UO3596	FL
2	390200000X	Student in an Organized Health Care Education/Training Program		FL
3	207RI0011X	Interventional Cardiology Physician	83374	SC

General Provider Information

NPI Number	:	1841712460
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROHIT BHANDARI

Provider Business Mailing Address
First Line	:	1609 CONSTITUTION BLVD
Second Line	:
City	:	ROCK HILL
State	:	SC
Zip	:	29732-3047
Country	:	US
Telephone Number	:	803-366-8300
Fax Number	:	803-327-4805

Provider Business Practice Location Address
First Line	:	1609 CONSTITUTION BLVD
Second Line	:
City	:	ROCK HILL
State	:	SC
Zip	:	29732-3047
Country	:	US
Telephone Number	:	803-366-8300
Fax Number	:	803-327-4805

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2017
Last Update Date	:	10/14/2020

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