Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | P3289 | TX |
NPI | 1356419980 |
---|---|
Provider Name | Sathya Bhandari |
First Address | Flower Mound, TX 75028-1747 |
Second Address | Corinth, TX 76210-4250 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2006 |
Last Update Date | 23/01/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
320089493 | TAX ID# (01) | NJ |