Organization
GASTROENTEROLOGY & NUTRITIONAL MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAL RAJ BHANDARI M.D. (PRESIDENT)
(318) 233-2177
Entity
Organization
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
—
—
Other
Enumeration date
03/28/2006
Last updated
08/22/2020
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