Provider Demographics
NPI:1811106321
Name:BHANDARI, AKSHAY (MD)
Entity type:Individual
Prefix:DR
First Name:AKSHAY
Middle Name:
Last Name:BHANDARI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4300 ALTON RD
Mailing Address - Street 2:2ND FLOOR ASCHER BUILDING
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2800
Mailing Address - Country:US
Mailing Address - Phone:305-674-2841
Mailing Address - Fax:305-535-7919
Practice Address - Street 1:4300 ALTON RD
Practice Address - Street 2:SUITE 540
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2800
Practice Address - Country:US
Practice Address - Phone:305-674-2499
Practice Address - Fax:305-674-2899
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301082481208800000X
FLME111020208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL004043400Medicaid
FLME111020OtherMEDICAL LICENSE
FL004043400Medicaid