Individual
GEETHA M BHANDARKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18101 OAKWOOD BLVD, OAKWOOD HOSPITAL MEDICAL CENTER, DEARBORN, MI 48124
(313) 593-7965
(313) 593-7143
Mailing address
26901 BEAUMONT BLVD, STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1863
(941) 522-0307
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
059995
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220032351
RR MCR
MI
05
—
4417447
—
MI
Enumeration date
03/10/2006
Last updated
01/22/2019
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