Individual
DR. SUDIPKUMAR KESHAVJI BHANDERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2020 PALOMINO LN, 100, LAS VEGAS, NV 89106-4894
(702) 759-8600
(702) 384-1815
Mailing address
2020 PALOMINO LN, 100, LAS VEGAS, NV 89106-4894
(702) 759-8600
(702) 384-1815
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TRN11374
FL
2085R0202X
Diagnostic Radiology Physician
Primary
14779
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01218840
RR MEDICARE
NV
Enumeration date
07/03/2007
Last updated
01/15/2014
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