1619978400 NPI number — BINDU GEORGE MD

Table of content: BINDU GEORGE MD (NPI 1619978400)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619978400 NPI number — BINDU GEORGE MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GEORGE
Provider First Name:
BINDU
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1619978400
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/25/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1401 N. ROCKVILLE PIKE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROCKVILLE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20852
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-827-9419
Provider Business Mailing Address Fax Number:
301-827-9796

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1401 N. ROCKVILLE PIKE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROCKVILLE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20852
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-827-9419
Provider Business Practice Location Address Fax Number:
301-827-9796
Provider Enumeration Date:
08/03/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RH0003X , with the licence number:  D0056314 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 7924607 . This is a "AETNA" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 0081294000 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".
  • Identifier: 029902200 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2124846 . This is a "MAMSI" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 610236000 . This is a "DEPARTMENT OF LABOR" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 01960003 . This is a "CAREFIRST FEDERAL" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 3810004318 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".
  • Identifier: 64125701 . This is a "CAREFIRST" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 3601886 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 522074387 . This is a "TAX ID" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




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