Suresha Bandara MDPC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

SURESHA BANDARA MDPC

Practice address

3147 Chestnut Run Dr
Bloomfield Hills, MI 48302-1112

Phone

(248) 892-0316

NPI assigned

Oct 12, 2023

Organization subpart

No

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

Authorized official

Name

Suresha Chandani BandaraNPI 1841457454

Title

Provider

Phone

(248) 892-0316

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suresha Chandani Bandara, M.D.

  • Infectious Disease Physician
  • Bloomfield Hills, MI
  • NPI 1841457454
  Medicare reassignment Authorized official
• Carmen Rodica Denes, PA-C

  • Medical Physician Assistant
  • Detroit, MI
  • NPI 1932443363
  Medicare reassignment
• Sarah Naji-Nehme, NP

  • Family Nurse Practitioner
  • Dearborn, MI
  • NPI 1013471275
  NPD (past)

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1588445787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3147 CHESTNUT RUN DR",
            "city": "BLOOMFIELD",
            "state": "MI",
            "postal_code": "483021112",
            "telephone_number": "248-892-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3147 CHESTNUT RUN DR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021112",
            "telephone_number": "248-892-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURESHA BANDARA MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "BANDARA",
        "authorized_official_first_name": "SURESHA",
        "authorized_official_middle_name": "CHANDANI",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "248-892-0316"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sue Shoha DDS PLLC
• Suha Kassab DPM PC
• Suha Kassab DPM PC
• Doraikannu Sukumaran, M.D.
• Daniel Sumbal, DDS
• Eric Suris, D.O.
• Susan I Leitman, PHD, PC
• SVS Vision Inc
• SVS Vision Inc (SVS Vision Optical Centers)
• Bethany Swanquist

• Infectious Disease Physician in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Infectious Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.