Individual
ANITA BHANDARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104
(215) 590-3749
(215) 590-3500
Mailing address
100 E PENN SQ, WANAMAKER BUILDING 9TH FLR, PHILADELPHIA, PA 19107
(267) 425-9200
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
MD064719L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017418840002
—
PA
05
—
0017418840008
—
PA
05
—
0017418840009
—
PA
01
—
524394
MEDICARE
PA
Enumeration date
02/06/2006
Last updated
04/12/2019
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