Provider Demographics
NPI:1417967449
Name:BHANOT, SUMEET (MD)
Entity type:Individual
Prefix:DR
First Name:SUMEET
Middle Name:
Last Name:BHANOT
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 1:2038 BEE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-6108
Mailing Address - Country:US
Mailing Address - Phone:941-966-3223
Mailing Address - Fax:941-966-3299
Practice Address - Street 1:2038 BEE RIDGE RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-6108
Practice Address - Country:US
Practice Address - Phone:941-966-3223
Practice Address - Fax:941-966-3299
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME88523207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL268090400Medicaid
FL81712OtherMEDICARE UNSPECIFIED
FL81712OtherMEDICARE UNSPECIFIED