Provider Demographics
NPI:1649212804
Name:BHANDARI, ARVIND (MD)
Entity Type:Individual
Prefix:DR
First Name:ARVIND
Middle Name:
Last Name:BHANDARI
Suffix:
Gender:M
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:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-437-9605
Practice Address - Street 1:1350 FIRST COLONY BLVD
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-4308
Practice Address - Country:US
Practice Address - Phone:281-277-5200
Practice Address - Fax:281-277-7295
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2008-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF0883207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX121319105Medicaid
TX8R1395OtherBLUE CROSS OF TEXAS
TX121319107Medicaid
TX121319109Medicaid
TX121319108Medicaid
TX121319106Medicaid
C13441Medicare UPIN
TX121319106Medicaid
TX121319107Medicaid
TX8C9961Medicare PIN
TX121319109Medicaid