Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 35045158 | OH |
NPI | 1033196738 |
---|---|
Provider Name | Dr. Lakshmanrao Bhandaru |
First Address | Toledo, OH 43604-7102 |
Second Address | Toledo, OH 43613-4147 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/12/2005 |
Last Update Date | 07/07/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0433472 | (05) | OH |