Provider Demographics
NPI:1467701417
Name:SATHYA P. BHANDARI, M.D. P.A.
Entity Type:Organization
Organization Name:SATHYA P. BHANDARI, M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:SATHYA
Authorized Official - Middle Name:P
Authorized Official - Last Name:BHANDARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-420-1776
Mailing Address - Street 1:3901 FM 2181 STE 300
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:TX
Mailing Address - Zip Code:76210-4250
Mailing Address - Country:US
Mailing Address - Phone:972-355-9038
Mailing Address - Fax:972-355-2038
Practice Address - Street 1:3901 FM 2181 STE 300
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:TX
Practice Address - Zip Code:76210-4250
Practice Address - Country:US
Practice Address - Phone:972-355-9038
Practice Address - Fax:972-355-2038
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SATHYA P. BHANDARI, M.D. P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-09-06
Last Update Date:2016-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP3289208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6718960002OtherMEDICARE PTAN
TX6718960002Medicare NSC
TXTXB163032Medicare PIN