Provider Demographics
NPI:1932497823
Name:MEHENDALE, RESHMA ANAND (MD)
Entity Type:Individual
Prefix:DR
First Name:RESHMA
Middle Name:ANAND
Last Name:MEHENDALE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 49TH ST
Mailing Address - Street 2:APT 5A
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-2938
Mailing Address - Country:US
Mailing Address - Phone:860-830-9093
Mailing Address - Fax:
Practice Address - Street 1:950 49TH ST
Practice Address - Street 2:APT 5A
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-2938
Practice Address - Country:US
Practice Address - Phone:860-830-9093
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-13
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY282234207W00000X
NYP80912207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology