Individual
DR. AMIT BHANDARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2020 CAPITOL ST NE, SALEM, OR 97301-0698
(503) 399-2424
(503) 375-7525
Mailing address
2020 CAPITOL ST NE, SALEM, OR 97301-0698
(503) 399-2424
(503) 375-7525
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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