Provider Demographics
NPI:1538115407
Name:BINDAL ANESTHESIOLOGISTS, LTD
Entity Type:Organization
Organization Name:BINDAL ANESTHESIOLOGISTS, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VIRJAY
Authorized Official - Middle Name:
Authorized Official - Last Name:GUPTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:224-880-6563
Mailing Address - Street 1:8840 CALUMET AVE
Mailing Address - Street 2:SUITE NO.103
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321-2529
Mailing Address - Country:US
Mailing Address - Phone:219-712-0821
Mailing Address - Fax:708-799-7874
Practice Address - Street 1:315 W 89TH AVE
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-6254
Practice Address - Country:US
Practice Address - Phone:219-712-0821
Practice Address - Fax:708-799-7874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100212870AMedicaid
IN100212870AMedicaid
INCA2020Medicare PIN
INCB3160Medicare PIN