Provider Demographics
NPI:1265729891
Name:BHANDARY, SAGAR RAM (MD)
Entity type:Individual
Prefix:DR
First Name:SAGAR
Middle Name:RAM
Last Name:BHANDARY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1650 SELWYN AVENUE
Mailing Address - Street 2:SUITE 8B
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10457
Mailing Address - Country:US
Mailing Address - Phone:718-579-2647
Mailing Address - Fax:718-577-5426
Practice Address - Street 1:1650 GRAND CONCOURSE
Practice Address - Street 2:6TH FLOOR
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457
Practice Address - Country:US
Practice Address - Phone:718-579-2647
Practice Address - Fax:718-577-5426
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-04
Last Update Date:2022-09-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MD3111152080N0001X
MDD78114208M00000X
DEC10011068208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD2080N0001XMedicaid