Provider Demographics
NPI:1053057240
Name:BHANDARI, USHA
Entity Type:Individual
Prefix:
First Name:USHA
Middle Name:
Last Name:BHANDARI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14448 DUBLIN DR
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-9050
Mailing Address - Country:US
Mailing Address - Phone:190-948-0522
Mailing Address - Fax:
Practice Address - Street 1:14448 DUBLIN DR
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-9050
Practice Address - Country:US
Practice Address - Phone:909-480-5225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-10
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program