Provider Demographics
NPI:1508920836
Name:BHANDARI, PANKAJ KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:PANKAJ
Middle Name:KUMAR
Last Name:BHANDARI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:51 JFK PARKWAY
Mailing Address - Street 2:1ST FLOOR WEST
Mailing Address - City:SHORT HILLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07078-2713
Mailing Address - Country:US
Mailing Address - Phone:917-582-6622
Mailing Address - Fax:
Practice Address - Street 1:51 JFK PARKWAY
Practice Address - Street 2:1ST FLOOR WEST
Practice Address - City:SHORT HILLS
Practice Address - State:NJ
Practice Address - Zip Code:07078-2713
Practice Address - Country:US
Practice Address - Phone:917-582-6622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA081377002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry