Raju, Bhaskar Nandimandalam

Raju, Bhaskar Nandimandalam is an individual health care provider with primary practice located at 2345 Sand Lake Rd Suite 200, Orlando FL 32809-9142. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Raju, Bhaskar Nandimandalam can be contacted via phone (407) 851-5121.

Contact Information

Primary practice address
2345 Sand Lake Rd Suite 200 Orlando FL 32809-9142
Phone: (407) 851-5121
Fax: (407) 851-0439
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X ME91130 Florida

Profile Details

NPI number 1558397620
LBN Legal business name Raju, Bhaskar Nandimandalam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Mar 16th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558397620 NPPES
Florida MEDICAID 008500200

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