Provider Demographics
NPI:1063474583
Name:KAMDAR, BINA ASHRAF (MD)
Entity Type:Individual
Prefix:DR
First Name:BINA
Middle Name:ASHRAF
Last Name:KAMDAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 WEST FOOTHILL BLVD
Mailing Address - Street 2:
Mailing Address - City:AZUSA
Mailing Address - State:CA
Mailing Address - Zip Code:91702-2343
Mailing Address - Country:US
Mailing Address - Phone:626-334-1611
Mailing Address - Fax:626-334-1677
Practice Address - Street 1:520 W FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:AZUSA
Practice Address - State:CA
Practice Address - Zip Code:91702-2343
Practice Address - Country:US
Practice Address - Phone:626-334-1611
Practice Address - Fax:626-334-1677
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-03
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA50638207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA50638Medicare ID - Type Unspecified