Provider Demographics
NPI:1942298393
Name:BHANDARI, ASHOK (PT)
Entity type:Individual
Prefix:MR
First Name:ASHOK
Middle Name:
Last Name:BHANDARI
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29451 WEATHERVANE AVE
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48331-2813
Mailing Address - Country:US
Mailing Address - Phone:313-510-2183
Mailing Address - Fax:
Practice Address - Street 1:29451 WEATHERVANE AVE
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48331-2813
Practice Address - Country:US
Practice Address - Phone:313-510-2183
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-10
Last Update Date:2016-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501005071225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist