Individual
MANISH S. BHANDARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-4000
(859) 301-4001
Mailing address
1360 DOLWICK DR STE 200, ERLANGER, KY 41018-3159
(859) 344-5555
(859) 344-5552
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
39580
KY
207RH0003X
Hematology & Oncology Physician
86350
OH
207RX0202X
Medical Oncology Physician
Primary
39580
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64107667
—
KY
Enumeration date
09/23/2005
Last updated
11/08/2021
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