Individual
DR. GAURAV BANDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(202) 444-4922
Mailing address
PO BOX 418283, BOSTON, MA 02241-8283
(703) 558-1544
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
49267
WI
208800000X
Urology Physician
Primary
MD038156
DC
208800000X
Urology Physician
MD431151
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00752491
RAILROAD MEDICARE
DC
Enumeration date
04/19/2006
Last updated
02/24/2012
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