Individual
DR. BAL RAJ BHANDARI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
616 S WASHINGTON ST, BASTROP, LA 71220-5035
(318) 283-2177
(318) 283-2251
Mailing address
616 S WASHINGTON ST, BASTROP, LA 71220-5035
(318) 283-2177
(318) 283-2251
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11414R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1665836
—
LA
Enumeration date
03/28/2006
Last updated
07/08/2007
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