Organization Name: | G. S. BINDRA, M.D., PLLC |
NPI Number: | 1750515532 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAT F OWEN (PRACTICE MANAGER) |
Mailing Address: | 1716 Parr Ave Suite A Dyersburg |
State: | TN US |
Postal Code: | 380242074 |
Phone Number: | 7312860149 |
Fax Number: | 7312866956 |
NPI Enumeration Date: | 05/08/2009 |
NPI Last Update Date: | 04/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 21989 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |