Individual
JITENDER P BHANDARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 333-5973
(812) 330-3681
Mailing address
550 LANDMARK AVE, PO BOX 550, BLOOMINGTON, IN 47403-0550
(812) 333-5973
(812) 330-3681
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01039232A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100355860
—
IN
Enumeration date
06/16/2005
Last updated
10/12/2016
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