Provider Demographics
NPI:1700340155
Name:BHANDARI GHIMIRE, SANGEETA
Entity Type:Individual
Prefix:
First Name:SANGEETA
Middle Name:
Last Name:BHANDARI GHIMIRE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6282 SAUNDERS ST APT 3J
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-1528
Mailing Address - Country:US
Mailing Address - Phone:347-221-9568
Mailing Address - Fax:
Practice Address - Street 1:8515 MAIN ST STE E
Practice Address - Street 2:
Practice Address - City:BRIARWOOD
Practice Address - State:NY
Practice Address - Zip Code:11435-1866
Practice Address - Country:US
Practice Address - Phone:718-523-7188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-29
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY382924208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics