Provider Demographics
NPI:1558653261
Name:INDER BHANVER MD PLLC
Entity Type:Organization
Organization Name:INDER BHANVER MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:INDER
Authorized Official - Middle Name:
Authorized Official - Last Name:BHANVER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-762-3828
Mailing Address - Street 1:5365 MAE ANNE AVE
Mailing Address - Street 2:SUITE A 35
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89523-1840
Mailing Address - Country:US
Mailing Address - Phone:775-787-6463
Mailing Address - Fax:775-787-6466
Practice Address - Street 1:5365 MAE ANNE AVE
Practice Address - Street 2:SUITE A 35
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89523-1840
Practice Address - Country:US
Practice Address - Phone:775-787-6463
Practice Address - Fax:775-787-6466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-12
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV100612084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty