Individual
DR. AMIT BHANDARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD26073
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0577260001
DMERC NUMBER
OR
01
—
1407812365
NBMC NPI NUMBER-GROUP
OR
05
—
278194
—
OR
01
—
CB3544
RR MEDICARE GROUP NUMBER
OR
01
—
MD26073
OREGON MEDICAL LICENSE
OR
01
—
P00274866
RR MEDICARE PTAN NUMBER
OR
01
—
R0000WFBTV
MEDICARE GROUP PIN
OR
Enumeration date
12/05/2005
Last updated
11/07/2023
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