NPI 1750401998 · live from the CMS NPI Registry
Anya Elizabeth Bandt, M.D.
Dermatology in Medford, OR. National Provider Identifier 1750401998, active.
NPI record
| NPI | 1750401998 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 2924 Siskiyou Blvd Ste 200, Medford, OR 97504 |
| Practice phone | 541-200-2777 |
| Mailing address | 1310 Commerce St Ste B, Petaluma, CA 94954 |
| Enumerated | March 30, 2007 |
| Last updated | June 23, 2026 |
| Sole proprietor | No |
| Other names | Anya Landeck |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology | 207N00000X | MD231168 (OR) |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | MD231168 (OR) |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | A65186 (CA) |
| Dermatology, Procedural Dermatology | 207NS0135X | A65186 (CA) |
| Dermatology primary | 207N00000X | A65186 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.