Provider Demographics
NPI:1003126475
Name:INTERNAL MEDICINE CONSULTANTS, P.C.
Entity Type:Organization
Organization Name:INTERNAL MEDICINE CONSULTANTS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VANDANA
Authorized Official - Middle Name:N
Authorized Official - Last Name:BINDAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:503-320-2121
Mailing Address - Street 1:6017 SW MURRAY BLVD
Mailing Address - Street 2:516
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97008
Mailing Address - Country:US
Mailing Address - Phone:503-320-2121
Mailing Address - Fax:503-641-4158
Practice Address - Street 1:9585 SW WASHINGTON SQUARE RD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97223-4450
Practice Address - Country:US
Practice Address - Phone:503-320-2121
Practice Address - Fax:503-641-4158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-19
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD23239207R00000X, 2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORH53457Medicare UPIN