Dr. Andrei Bandarchuk
Internist Hematology & Oncology
55 Sayles St
Southbridge
, Massachusetts 01550-1729
Dr. Andrei Bandarchuk
Internist Hematology & Oncology
55 Sayles St
Southbridge
, Massachusetts 01550-1729
(508) 909-7799
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About
Features
Specialties
- Internist
- Hematology & Oncology
Languages spoken
- English
Location
First Address
- Dr. Andrei Bandarchuk
- Po Box 40
- Southbridge, MA
- Zip : 01550-0040
- Phone : (508) 909-7799
Second Address
- Dr. Andrei Bandarchuk
- 55 Sayles St
- Southbridge, MA
- Zip : 01550-1729
- Fax : (508) 909-7770
- Phone : (508) 764-2400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 275825 | NY |
| N | 111NI0900X | Internist | 275825 | NY |
| Y | 207RH0003X | Hematology & Oncology | 277056 | MA |
National Provider Identifier
| NPI | 1013323831 |
|---|---|
| Provider Name | Dr. Andrei Bandarchuk |
| First Address | Southbridge, MA 01550-0040 |
| Second Address | Southbridge, MA 01550-1729 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/07/2014 |
| Last Update Date | 18/08/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 277056 | MEDICAL LICNESE (01) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.