Provider Demographics
NPI:1467199109
Name:KANDEL, BIPIN (MD)
Entity type:Individual
Prefix:MR
First Name:BIPIN
Middle Name:
Last Name:KANDEL
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 1:2480 N ROCK CREEK DR
Mailing Address - Street 2:
Mailing Address - City:LOS BANOS
Mailing Address - State:CA
Mailing Address - Zip Code:93635-8827
Mailing Address - Country:US
Mailing Address - Phone:313-745-5533
Mailing Address - Fax:
Practice Address - Street 1:311 W I ST
Practice Address - Street 2:
Practice Address - City:LOS BANOS
Practice Address - State:CA
Practice Address - Zip Code:93635-3479
Practice Address - Country:US
Practice Address - Phone:209-826-2222
Practice Address - Fax:209-826-6464
Is Sole Proprietor?:No
Enumeration Date:2022-05-15
Last Update Date:2025-08-18
Deactivation Date:2023-03-20
Deactivation Code:
Reactivation Date:2023-05-18
Provider Licenses
StateLicense IDTaxonomies
390200000X
CAU0608201208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program