Individual
DR. BHANUMATHI BANDU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 SULLIVAN WAY, TRENTON PSYCHIATRIC HOSPITAL, WEST TRENTON, NJ 08628
(609) 633-1500
Mailing address
STATE OF NJ DEPT. OF TREASURY, PO BOX 15280, NEWARK, NJ 07192-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA06642700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008837B1F
MEDICARE BILLING NUMBER
—
Enumeration date
06/23/2006
Last updated
05/24/2010
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