Provider Demographics
NPI:1710207360
Name:BHANDARI, NAUMIT SRI INDRANEEL (MD)
Entity Type:Individual
Prefix:DR
First Name:NAUMIT
Middle Name:SRI INDRANEEL
Last Name:BHANDARI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4450 LOCKHILL SELMA RD STE 102
Mailing Address - Street 2:
Mailing Address - City:SHAVANO PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78249-4394
Mailing Address - Country:US
Mailing Address - Phone:210-635-0021
Mailing Address - Fax:210-635-0027
Practice Address - Street 1:4450 LOCKHILL SELMA RD STE 102
Practice Address - Street 2:
Practice Address - City:SHAVANO PARK
Practice Address - State:TX
Practice Address - Zip Code:78249-4394
Practice Address - Country:US
Practice Address - Phone:210-635-0021
Practice Address - Fax:210-635-0027
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-06
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP9521207L00000X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX374430YLLUMedicare PIN
TX374430YK00Medicare PIN