Individual
DR. ANANTHA R BHANDARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
102 HOLLY HILL RD, MINERAL WELLS, TX 76067-5042
(940) 325-0789
(940) 325-0780
Mailing address
102 HOLLY HILL RD, MINERAL WELLS, TX 76067-5042
(940) 325-0789
(940) 325-0780
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G9711
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112116201
—
TX
01
—
75-2739365
TAX ID
TX
Enumeration date
04/20/2006
Last updated
02/07/2012
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