Provider Demographics
NPI:1407913916
Name:BENDER, REINA PAI (MD)
Entity Type:Individual
Prefix:
First Name:REINA
Middle Name:PAI
Last Name:BENDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:REINA
Other - Middle Name:DAYANANDA
Other - Last Name:PAI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:915 OLD FERN HILL ROAD
Mailing Address - Street 2:BUILDING B SUITE 300
Mailing Address - City:WESTCHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380
Mailing Address - Country:US
Mailing Address - Phone:610-431-3122
Mailing Address - Fax:610-431-4799
Practice Address - Street 1:915 OLD FERN HILL ROAD
Practice Address - Street 2:BUILDING B SUITE 300
Practice Address - City:WESTCHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380
Practice Address - Country:US
Practice Address - Phone:610-431-3122
Practice Address - Fax:610-431-4799
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD430435207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology