Provider Demographics
NPI:1386835049
Name:SCHELLER, VANDHANA MOHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:VANDHANA
Middle Name:MOHAN
Last Name:SCHELLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:VANDHANA
Other - Middle Name:MOHAN
Other - Last Name:PILLAI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4301 COLLINS AVE APT 1004
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-3233
Mailing Address - Country:US
Mailing Address - Phone:480-363-8997
Mailing Address - Fax:
Practice Address - Street 1:4300 ALTON RD
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2948
Practice Address - Country:US
Practice Address - Phone:786-475-4970
Practice Address - Fax:337-289-6006
Is Sole Proprietor?:No
Enumeration Date:2007-08-07
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME129340207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ550269Medicaid