Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Niketh Bandla, MD

Individual provider Diagnostic Radiology Physician · NPI 1518499466

Niketh Bandla, MD is a Diagnostic Radiology in El Segundo, California. Qualified in 2016, 10 years ago. Practices with Mori Bean and Brooks Inc, a 976-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida and Michigan.

Years since qualifying
10
Licensed in
FL, MI
In the registry since
2017
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2330 Utah Ave Ste 200
El Segundo, CA 90245-4817
Phone: (281) 766-0959
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 110 Irving St Nw, Washington, DC 20010-3017 — (202) 877-3536
  • 2799 W Grand Blvd, Detroit, MI 48202-2608 — (800) 653-6568

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence ME163854 (FL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 4301507188 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1518499466
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 30, 2017
Last updated in NPPESJanuary 9, 2025
Certification dateJanuary 9, 2025
Mailing address110 Irving St Nw, Department Of Surgery, Washington, DC 20010-3017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Mori Bean And Brooks Inc — 976 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations13 on file with Medicare

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