MR. SANJEEB SUDARSHAN BHANDARI (NPI# 1235629239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235629239 |
| Entity Type | Individual |
| Full Name | MR. SANJEEB SUDARSHAN BHANDARI |
| Credential | M.D. |
| Practice Address |
1906 Bellview Ave Se Roanoke VA 24014 |
| Mailing Address |
1 Riverside Circle 4th Floor Roanoke VA 24016 |
| Practice Telephone | 5409817000 |
| Mailing Telephone | 6672188253 |
| Mailing Fax Number | 5403422095 |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2019-01-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 0116031285 | VA | Student, Health Care |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1906 BELLVIEW AVE SE |
| City | ROANOKE |
| State | VA |
| Zip Code | 24014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558602 | Irene Pace Seidman | Pharmacist | 3350 Clearbrook Village Ln, Roanoke, VA 24014 | 2020-11-04 |
| 1720617970 | Mounica Reddy Thootkur | Student in an Organized Health Care Education/Training Program | 2017 South Jefferson Street, 2nd Floor, Roanoke, VA 24014 | 2020-04-08 |
| 1326675422 | Bharath Muppala | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2020-03-26 |
| 1104325778 | Vera J. Short | Registered Nurse | 3167 Huffman Ln, Roanoke, VA 24014 | 2018-02-08 |
| 1770001380 | Michael Alan Phillips I | Social Worker | 2017 Jefferson Street, Roanoke, VA 24014 | 2017-09-03 |
| 1306362884 | Sara Alicia Guasch | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2017-08-16 |
| 1790212256 | Pouya Mafi | Student in an Organized Health Care Education/Training Program | 1906 Belleview Ave, Carilion Roanoke Memorial Hospital, Roanoke, VA 24014 | 2017-05-16 |
| 1790222867 | Mara Cate | Physician Assistant | 523 Arbuttus Ave, Roanoke, VA 24014 | 2017-01-26 |
| 1508314634 | Dknl Enterprises, Inc. | Non-emergency Medical Transport (VAN) | 3629 Franklin Rd Sw Suite 205b, Roanoke, VA 24014 | 2016-09-19 |
| 1407302847 | Elia Boles | Pediatrics | Carilion Clinic Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2016-08-26 |
| Find all providers in zip 24014 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598382780 | Thomas James Tronstad | Student in an Organized Health Care Education/Training Program | 5009 Oakleigh Ave Sw, Roanoke, VA 24018-1611 | 2020-07-03 |
| 1326662131 | Kara Marie Williams | Student in an Organized Health Care Education/Training Program | 16 Old Woods Ave Se Apt 333, Roanoke, VA 24016-1431 | 2020-06-08 |
| 1720617970 | Mounica Reddy Thootkur | Student in an Organized Health Care Education/Training Program | 2017 South Jefferson Street, 2nd Floor, Roanoke, VA 24014 | 2020-04-08 |
| 1134758329 | Davis Andrew Sugar | Student in an Organized Health Care Education/Training Program | 1 Riverside Circle, Suite 401, Roanoke, Va, 24016, Suite 401, Roanoke, VA 24016 | 2020-04-08 |
| 1326675422 | Bharath Muppala | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2020-03-26 |
| 1790310837 | Amit Piple | Student in an Organized Health Care Education/Training Program | 2530 Rosalind Ave Sw, Roanoke, VA 24014-2326 | 2020-03-09 |
| 1629608138 | Jessica Lynn Jacobs | Student in an Organized Health Care Education/Training Program | 360 Fincher Rd, Roanoke, AL 36274-2632 | 2020-01-23 |
| 1548809429 | Violet Gelowani | Student in an Organized Health Care Education/Training Program | 1406 3rd St Sw Apt 5, Roanoke, VA 24016-5249 | 2019-12-25 |
| 1275171241 | Kayla Brett Pulley | Student in an Organized Health Care Education/Training Program | 327 Campbell Ave Sw Apt 107, Roanoke, VA 24016-3653 | 2019-12-20 |
| 1831754175 | Kevin Charles Duffy | Student in an Organized Health Care Education/Training Program | 16 Old Whitmore Ave Se Apt 414, Roanoke, VA 24016-1236 | 2019-05-02 |
| Find all providers in ROANOKE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.