Individual
DR. ANUSHA BANDLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6406
Mailing address
36123 SCHOOLCRAFT RD, LIVONIA, MI 48150-1216
(913) 660-1616
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-38829
KS
207R00000X
Internal Medicine Physician
2016032019
MO
208M00000X
Hospitalist Physician
U3782
TX
Other
Enumeration date
09/12/2013
Last updated
08/14/2024
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