Dr. Menal Bhandari
in Maywood, IL. Individual provider (NPI-1).
NPI number1134895758
StatusActive
Last updated in NPPESOct 10, 2023
Details
- NPI
- 1134895758
- Entity type
- Individual (NPI-1)
- Name
- Dr. Menal Bhandari
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 23, 2021
- Certification date
- Oct 10, 2023
- Last updated
- Oct 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0001X | 125.080580 | IL | Yes | |
| 2085R0001X | TRN-34072 | FL | ||
| 390200000X | Student in an Organized Health Care Education/Training Program | 125080580 | IL |
Practice location
2160 S 1st AveMaywood, IL 60153-3328
Phone 813-809-1915
Mailing address
2160 S 1st AveMaywood, IL 60153-3328
Phone 813-809-1915
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