Provider Demographics
NPI:1205395704
Name:NAUMIT S. BHANDARI P.A.
Entity Type:Organization
Organization Name:NAUMIT S. BHANDARI P.A.
Other - Org Name:TRIDENT PAIN MANAGEMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NAUMIT
Authorized Official - Middle Name:SRI INDRANEEL
Authorized Official - Last Name:BHANDARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-995-4925
Mailing Address - Street 1:4450 LOCKHILL SELMA RD STE 102
Mailing Address - Street 2:
Mailing Address - City:SHAVANO PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78249-4394
Mailing Address - Country:US
Mailing Address - Phone:210-635-0021
Mailing Address - Fax:210-635-0027
Practice Address - Street 1:4450 LOCKHILL SELMA RD STE 102
Practice Address - Street 2:
Practice Address - City:SHAVANO PARK
Practice Address - State:TX
Practice Address - Zip Code:78249-4394
Practice Address - Country:US
Practice Address - Phone:210-635-0021
Practice Address - Fax:210-635-0027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-14
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty