Provider Demographics
NPI:1588449839
Name:BHANDARI, RAJU (MBBS)
Entity type:Individual
Prefix:
First Name:RAJU
Middle Name:
Last Name:BHANDARI
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 UNIVERSITY BLVD
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77555-0534
Mailing Address - Country:US
Mailing Address - Phone:409-772-0531
Mailing Address - Fax:409-772-0557
Practice Address - Street 1:301 UNIVERSITY BLVD, RT. 0534
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77555-0534
Practice Address - Country:US
Practice Address - Phone:409-772-0531
Practice Address - Fax:409-772-0557
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-25
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program