Provider Demographics
NPI:1750438974
Name:BHAGCHANDANI, LAL K (MD)
Entity type:Individual
Prefix:
First Name:LAL
Middle Name:K
Last Name:BHAGCHANDANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2825 N STATE ROAD 7
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-5737
Mailing Address - Country:US
Mailing Address - Phone:954-917-4941
Mailing Address - Fax:954-917-4940
Practice Address - Street 1:2825 N STATE ROAD 7
Practice Address - Street 2:SUITE 201
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-5737
Practice Address - Country:US
Practice Address - Phone:954-917-4941
Practice Address - Fax:954-917-4940
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME79999207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL258659200Medicaid
FLF98031Medicare UPIN
FL258659200Medicaid