Bashi Bandari, M.D. , S.C.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

BASHI BANDARI, M.D. , S.C.

Practice address

812 Saint Stephens GRN
Oak Brook, IL 60523-2566

Phone

(630) 789-3412

Fax

(630) 789-3412

NPI assigned

Apr 12, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bashi Bandari, MD

Title

MD

Phone

(630) 789-3412

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104040120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 SAINT STEPHENS GRN",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232566",
            "telephone_number": "630-789-3412",
            "fax_number": "630-789-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 SAINT STEPHENS GRN",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232566",
            "telephone_number": "630-789-3412",
            "fax_number": "630-789-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASHI BANDARI, M.D. , S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BANDARI",
        "authorized_official_first_name": "BASHI",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "630-789-3412",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.