Provider Demographics
NPI:1225291834
Name:PAUDYAL, BANDHU (MD)
Entity Type:Individual
Prefix:
First Name:BANDHU
Middle Name:
Last Name:PAUDYAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-721-8789
Mailing Address - Fax:717-715-1360
Practice Address - Street 1:207 W FULTON ST
Practice Address - Street 2:
Practice Address - City:EPHRATA
Practice Address - State:PA
Practice Address - Zip Code:17522-1902
Practice Address - Country:US
Practice Address - Phone:717-721-8789
Practice Address - Fax:717-715-1360
Is Sole Proprietor?:No
Enumeration Date:2008-07-03
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4620042084N0400X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1033369460001Medicaid