Individual
DR. ANITA R BHANDIWAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1505 NORTHSIDE BLVD STE 3600, CUMMING, GA 30041-8245
(470) 639-6272
(770) 781-3559
Mailing address
1505 NORTHSIDE BLVD STE 3600, CUMMING, GA 30041-8245
(470) 639-6272
(770) 781-3559
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
2011006544
MO
207RC0000X
Cardiovascular Disease Physician
Primary
54550
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205559008
—
MO
Enumeration date
07/30/2006
Last updated
06/23/2023
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