Provider Demographics
NPI:1992161426
Name:BHANDARI, LAXMAN
Entity type:Individual
Prefix:
First Name:LAXMAN
Middle Name:
Last Name:BHANDARI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3326 TROY AVE NW
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24012-2939
Mailing Address - Country:US
Mailing Address - Phone:540-293-1082
Mailing Address - Fax:
Practice Address - Street 1:3326 TROY AVE NW
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24012-2939
Practice Address - Country:US
Practice Address - Phone:540-293-1082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-13
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter