Provider Demographics
NPI:1730161878
Name:BHANDARI, ARUN (MD)
Entity type:Individual
Prefix:
First Name:ARUN
Middle Name:
Last Name:BHANDARI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 LUBRANO DR
Mailing Address - Street 2:STE: 201
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-7564
Mailing Address - Country:US
Mailing Address - Phone:410-573-0090
Mailing Address - Fax:410-573-0097
Practice Address - Street 1:129 LUBRANO DR
Practice Address - Street 2:STE- 201
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7564
Practice Address - Country:US
Practice Address - Phone:410-573-0090
Practice Address - Fax:410-573-0097
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD427403207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD101469980Medicaid
MD098534SDBMedicare PIN
MD146902Medicare UPIN