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Individual

SIDDARTHA BHANDARY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.B.B.S

Contact information

Practice address
100 MEDICAL CENTER DR, SLIDELL, LA 70461
(985) 646-5750
(985) 646-5098
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
313482
LA
207R00000X
Internal Medicine Physician
MTL002812
DC

Other

Enumeration date
06/09/2015
Last updated
07/18/2019
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