Provider Demographics
NPI:1861068611
Name:DEVANABANDA, BHAVANA (MD)
Entity type:Individual
Prefix:MS
First Name:BHAVANA
Middle Name:
Last Name:DEVANABANDA
Suffix:
Gender:F
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:COOPERMAN BARNABAS MEDICAL CENTER
Mailing Address - Street 2:94 OLD SHORT HILLS ROAD, DEPARTMENT OF MEDICAL EDUCATIO
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:COOPERMAN BARNABAS MEDICAL CENTER
Practice Address - Street 2:94 OLD SHORT HILLS ROAD, DEPARTMENT OF MEDICAL EDUCATIO
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039
Practice Address - Country:US
Practice Address - Phone:718-883-4583
Practice Address - Fax:718-883-6124
Is Sole Proprietor?:No
Enumeration Date:2021-06-02
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program