Provider Demographics
NPI:1497940951
Name:BINDINGNAVELE, VIJAY KRISHNA
Entity Type:Individual
Prefix:DR
First Name:VIJAY
Middle Name:KRISHNA
Last Name:BINDINGNAVELE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5642 ESPLANADE DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-4122
Mailing Address - Country:US
Mailing Address - Phone:361-888-7417
Mailing Address - Fax:361-651-1489
Practice Address - Street 1:5642 ESPLANADE DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414
Practice Address - Country:US
Practice Address - Phone:361-888-7417
Practice Address - Fax:361-651-1489
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-07
Last Update Date:2018-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM9865208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1497940951OtherNPI
TX1497940951OtherNPI
TXTXB113848-INDMedicare PIN