Provider Demographics
NPI:1003985078
Name:BINDRA, SANJIT SINGH (MD)
Entity Type:Individual
Prefix:DR
First Name:SANJIT
Middle Name:SINGH
Last Name:BINDRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 638269
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-3376
Mailing Address - Country:US
Mailing Address - Phone:440-816-2270
Mailing Address - Fax:
Practice Address - Street 1:7255 OLD OAK BLVD STE C406
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44130-3301
Practice Address - Country:US
Practice Address - Phone:440-816-2270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35089231207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2748941Medicaid
OH388375OtherWELLCARE
OHP00459890OtherRAILROAD MEDICARE
OHP00705909OtherRAILROAD CARE
OH000000517747OtherANTHEM BC/BS
OHP00459890OtherRAILROAD MEDICARE
OH4207811Medicare PIN
OH388375OtherWELLCARE