DR. BHASKAR NANDIMANDALAM RAJU (NPI# 1558397620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558397620 |
| Entity Type | Individual |
| Full Name | DR. BHASKAR NANDIMANDALAM RAJU |
| Credential | M.D. |
| Practice Address |
2345 Sand Lake Rd Suite 200 Orlando FL 32809-9142 |
| Practice Telephone | 4078515121 |
| Practice Fax Number | 4078510439 |
| Mailing Telephone | (407) 851-5121 |
| Mailing Fax Number | 4078510439 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
ME91130 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 008500200 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1551 Boren Dr Ste C, Ocoee, FL 347612966 | 4078515121 | 4078510439 |
| 102 Park Place Blvd Ste D1, Kissimmee, FL 347412358 | 4078515121 | 4078510439 |
| Street Address |
2345 SAND LAKE RD SUITE 200 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32809-9142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700874047 | Donna K Martinez | Nurse Practitioner | 2345 Sand Lake Rd, Suite 200, Orlando, FL 32809-9142 | 2005-10-11 |
| 1962047209 | Krystal Ann Myers | Social Worker | 2345 Sand Lake Rd, Orlando, FL 32809-9142 | 2019-11-11 |
| 1558879114 | Karen Elizabeth Jorge | Physician Assistant | 2345 Sand Lake Rd, Orlando, FL 32809-9142 | 2018-01-17 |
| 1962867143 | Nancy Vermeer | Psychologist | 2345 Sand Lake Rd, Orlando, FL 32809-9142 | 2015-12-15 |
| 1447507496 | Sandlake Health & Wellness Center LLC | Clinic/Center | 2345 Sand Lake Rd, Suite 300, Orlando, FL 32809-9142 | 2012-08-09 |
| 1104186469 | Orlando Psychiatric Care LLC | Psychiatry & Neurology | 2345 Sand Lake Rd, Suite 200, Orlando, FL 32809-9142 | 2012-05-21 |
| 1528172731 | Orlando Psychiatric Associates Inc. | Community/Behavioral Health | 2345 Sand Lake Rd, Suite 200, Orlando, FL 32809-9142 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634765 | Junie Jean-philippe | Chiropractor | 7130 S Orange Blossom Trail Suite 148, Orlando, FL 32809 | 2020-03-12 |
| 1073030276 | Amanda Wiegert | Counselor | 6000 Lake Ellenor Drive, Orlando, FL 32809 | 2017-08-28 |
| 1780114330 | Fanny Vivas | Counselor | 8000 South Orange Avenue, Suite 111, Orlando, FL 32809 | 2017-06-15 |
| 1588101356 | Coassist Pharmacy, LLC | Pharmacy | 2400 Sand Lake Road, Suite 200, Orlando, FL 32809 | 2017-01-31 |
| 1306203872 | Greidis Villalobos | Counselor | 5957 Estella Way, Orlando, FL 32809 | 2016-01-28 |
| 1891113809 | Orville Mario Morgan | Genetic Counselor, MS | 1220 Evangeline Ave., Orlando, FL 32809 | 2014-04-07 |
| 1669727699 | Hispanic Family Counseling Inc | Social Worker | 6900 S Orange Blossom Trl Ste 402, Orlando, FL 32809 | 2012-07-16 |
| 1548529118 | Laurie Lowe Forbes | Pharmacist | 530 Sunport Lane, Orlando, FL 32809 | 2012-05-16 |
| 1972886307 | Viet H Nguyen | Pharmacist | 7003 Presidents Drive Suite 250, Orlando, FL 32809 | 2011-09-22 |
| 1497042774 | Calren S Wang | Physical Therapy Assistant | 1718 Colleen Dr, Belle Isle, FL 32809 | 2011-07-07 |
| Find all providers in zip 32809 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558606442 | Orlando Pediatric Psychiatry LLC | Psychiatry & Neurology | 1505 E Michigan St, Orlando, FL 32806-4818 | 2012-12-03 |
| 1891097663 | Sylvia Budd Johnson | Psychiatry & Neurology | 10437 Moss Park Rd Ste B, Orlando, FL 32832-5812 | 2010-11-29 |
| 1679710032 | Cats of Orlando | Psychiatry & Neurology | 8427 Diamond Cove Cir, Orlando, FL 32836-6018 | 2009-01-07 |
| 1568665602 | Florida Psychiatric Center P A | Psychiatry & Neurology | 9430 Turkey Lake Rd Suit # 102, Orlando, FL 32819-8015 | 2007-06-07 |
| 1952513848 | B & T Partners LLC | Psychiatry & Neurology | 8751 Commodity Circle (3), Orlando, FL 32819 | 2007-05-04 |
| 1588036040 | Physicians Collaborative Affiliates, Inc. | Psychiatry & Neurology | 101 E Miller St, Orlando, FL 32806-2123 | 2015-10-23 |
| 1104186469 | Orlando Psychiatric Care LLC | Psychiatry & Neurology | 2345 Sand Lake Rd, Suite 200, Orlando, FL 32809-9142 | 2012-05-21 |
| 1962786483 | Millenia Psychiatry & Research, Inc. | Psychiatry & Neurology | 5323 Millenia Lakes Blvd, #121, Orlando, FL 32839-3392 | 2011-10-03 |
| 1982732707 | Nasreen Razack-malik | Psychiatry & Neurology | 2500 Discovery Dr, Orlando, FL 32826-3709 | 2007-03-01 |
| 1225188253 | Linda Bisnauth | Psychiatry & Neurology | 6601 Central Florida Parkway, Central Florida Behavioral Hospital, Orlando, FL 32821 | 2007-01-11 |
| Find all providers in ORLANDO | ||||
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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.