Provider Demographics
NPI:1407042450
Name:BHANDARI, RAJENDRA (MS)
Entity Type:Individual
Prefix:
First Name:RAJENDRA
Middle Name:
Last Name:BHANDARI
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:358 NEWCASTLE BRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89138-1546
Mailing Address - Country:US
Mailing Address - Phone:702-658-1001
Mailing Address - Fax:
Practice Address - Street 1:7350 S RAINBOW BLVD
Practice Address - Street 2:SAVON PHARMACY
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89139-0400
Practice Address - Country:US
Practice Address - Phone:702-739-1856
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-23
Last Update Date:2007-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV137861835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy