Individual
DR. AVINASH KRISHNA BHANDARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6909 OLD HIGHWAY 441 S, SUITE 104, MOUNT DORA, FL 32757-7039
(407) 605-5621
Mailing address
1502 N DONNELLY ST, STE 107, MOUNT DORA, FL 32757-2846
(407) 605-5621
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME 114143
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14ME6
BCBS
FL
Enumeration date
01/08/2008
Last updated
02/09/2018
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