Individual
DR. CARLITO D SABANDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 16TH ST, BEDFORD, IN 47421-3510
(812) 275-1200
(812) 275-1299
Mailing address
PO BOX 4777, BLOOMINGTON, IN 47402-4777
(812) 336-1690
(812) 349-1311
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01036225A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01036225A
IN LICENSE
IN
01
—
01036225B
CSR
—
05
—
200008390
—
IN
Enumeration date
09/02/2006
Last updated
04/26/2026
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