Provider Demographics
NPI:1679501324
Name:BHANDARI, ANGELINA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANGELINA
Middle Name:
Last Name:BHANDARI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3533 S ALAMEDA ST
Mailing Address - Street 2:2ND FLOOR DEPARTMENT OF ANESTHESIA
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-1721
Mailing Address - Country:US
Mailing Address - Phone:361-694-5445
Mailing Address - Fax:361-694-5449
Practice Address - Street 1:3533 S ALAMEDA ST
Practice Address - Street 2:2ND FLOOR DEPARTMENT OF ANESTHESIA
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-1721
Practice Address - Country:US
Practice Address - Phone:361-694-5445
Practice Address - Fax:361-694-5449
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXP2417207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036-099785Medicaid
ILH49021Medicare UPIN
ILK07508Medicare PIN
TXTXB151924Medicare PIN