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Individual

DR. SURENDAR BHANDARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
201 E GROVER ST, SHELBY, NC 28150-3917
(980) 487-3678
Mailing address
PO BOX 60444, CHARLOTTE, NC 28260-0444
(704) 512-4808

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
200201432
NC
207R00000X
Internal Medicine Physician
27611
SC
207R00000X
Internal Medicine Physician
Primary
MD2016-0077
NM
208M00000X
Hospitalist Physician
27611
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5916238
NC
05
89133FR
NC
05
N01432
SC
Enumeration date
05/09/2006
Last updated
01/04/2023
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