Provider Demographics
NPI:1407069008
Name:BHANDARI, ARVIN SITARAM (MD)
Entity Type:Individual
Prefix:DR
First Name:ARVIN
Middle Name:SITARAM
Last Name:BHANDARI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1970 ROANOKE BLVD
Mailing Address - Street 2:MAIL STOP 111J/ER
Mailing Address - City:SALEM
Mailing Address - State:VA
Mailing Address - Zip Code:24153-6404
Mailing Address - Country:US
Mailing Address - Phone:540-982-2463
Mailing Address - Fax:540-983-1093
Practice Address - Street 1:1970 ROANOKE BLVD
Practice Address - Street 2:MAIL STOP 111J/ER
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24153-6404
Practice Address - Country:US
Practice Address - Phone:540-982-2463
Practice Address - Fax:540-983-1093
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA01012411652084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FB 0425377OtherDEA NUMBER