Provider Demographics
NPI:1497764948
Name:KHARBANDA, MONICA (MD)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:
Last Name:KHARBANDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2531 LANDMARK DR STE 103
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761-3928
Mailing Address - Country:US
Mailing Address - Phone:727-599-0893
Mailing Address - Fax:727-674-2965
Practice Address - Street 1:2531 LANDMARK DR STE 103
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-3928
Practice Address - Country:US
Practice Address - Phone:727-599-0893
Practice Address - Fax:727-674-2965
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME92529208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL012016400Medicaid