Provider Demographics
NPI:1366197006
Name:BHANDARI, RANU (DDS)
Entity type:Individual
Prefix:
First Name:RANU
Middle Name:
Last Name:BHANDARI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13335 FIELDING WAY
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46037-4612
Mailing Address - Country:US
Mailing Address - Phone:720-725-3552
Mailing Address - Fax:
Practice Address - Street 1:14081 MUNDY DR
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-8812
Practice Address - Country:US
Practice Address - Phone:317-792-5512
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-21
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12013737A122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist