Tanisha Bandoo, MS,RDN,CDN,LDN is a
Dietitian, Registered based in Estero, Florida. Tanisha Bandoo is licensed to practice in New York (license number 010561) and her current practice location is
10600 Chevrolet Way, St 228, Estero, Florida. She can be reached at her office (for appointments etc.) via phone at
(941) 500-2610.
NPI number for Tanisha Bandoo is 1821669847 and her current mailing address is 651 Nw 82nd Ave Apt 317, Plantation, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821669847.
Healthcare Provider's Profile
| Full Name | Tanisha Bandoo |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 10600 Chevrolet Way, St 228, Estero, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1821669847
- Provider Enumeration Date: 07/09/2021
- Last Update Date: 09/12/2024
Medical Identifiers
Medical identifiers for Tanisha Bandoo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821669847 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 2043 (Connecticut) | Secondary |
| 133V00000X | Dietitian, Registered | 10677 (Florida) | Secondary |
| 133V00000X | Dietitian, Registered | DT90869 (Texas) | Secondary |
| 133V00000X | Dietitian, Registered | 010561 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tanisha Bandoo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tanisha Bandoo, MS,RDN,CDN,LDN
651 Nw 82nd Ave Apt 317,
Plantation, FL 33324-1490
Ph: () - | Tanisha Bandoo, MS,RDN,CDN,LDN
10600 Chevrolet Way, St 228,
Estero, FL 33928
Ph: (941) 500-2610 |
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