Provider Demographics
NPI:1093805582
Name:BINDRA, RANDIPSINGH (MD)
Entity Type:Individual
Prefix:
First Name:RANDIPSINGH
Middle Name:
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 1:2160 S. 1ST AVENUE
Mailing Address - Street 2:MAGUIRE 105, SUITE 1700
Mailing Address - City:MAYWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60153
Mailing Address - Country:US
Mailing Address - Phone:708-216-5825
Mailing Address - Fax:708-216-5858
Practice Address - Street 1:2160 S 1ST AVE
Practice Address - Street 2:MAGUIRE 105, SUITE 1700
Practice Address - City:MAYWOOD
Practice Address - State:IL
Practice Address - Zip Code:60153-3328
Practice Address - Country:US
Practice Address - Phone:708-216-5825
Practice Address - Fax:708-216-5858
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-3150207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR146425001Medicaid
H62127Medicare UPIN
AR146425001Medicaid