SearchIdaho183500000X

Tina Bandekar

NPI 1457635617 · on the registry since 2011 · sole proprietor

Practice

Address
10530 W Carlton Bay Dr
Garden City, ID 83714
Phone
(208) 319-2482
Fax
(208) 319-2488
Clinicians at this address
3

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-10-06

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 Idaho