Provider Demographics
NPI:1407128994
Name:L BHANDARU MD & S BHANDARU MD INC
Entity Type:Organization
Organization Name:L BHANDARU MD & S BHANDARU MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAKSHMANRAO
Authorized Official - Middle Name:
Authorized Official - Last Name:BHANDARU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-474-5401
Mailing Address - Street 1:2230 W LASKEY RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43613-3543
Mailing Address - Country:US
Mailing Address - Phone:419-474-5401
Mailing Address - Fax:419-475-6172
Practice Address - Street 1:2230 LASKEY ROAD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43613
Practice Address - Country:US
Practice Address - Phone:419-474-5401
Practice Address - Fax:419-475-6172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-31
Last Update Date:2017-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty