Search › Florida › 207R00000X
Thejaswi Bandikatla
NPI 1346595139 · on the registry since 2012
Practice
- Address
- 590 Ruby Ct
Maitland, FL 32751 - Phone
- (407) 677-4867
- Organisation at this address
- Lake Howell Family Medicine Associates
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 33 W 125th St, New York, NY
- 2555 S Volusia Ave, Orange City, FL
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 390200000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-01-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida