Individual
SUPRIYA BHANDARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1300 S COUNTRY CLUB DR STE 3, MESA, AZ 85210-5162
(480) 827-5500
Mailing address
2901 N CENTRAL AVE, ST 160, PHOENIX, AZ 85012-2700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
62870
AZ
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
4301502133
MI
Other
Enumeration date
04/20/2017
Last updated
09/24/2025
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