Provider Demographics
NPI:1609831072
Name:BINDRA, AMBY JEET (MD)
Entity Type:Individual
Prefix:DR
First Name:AMBY
Middle Name:JEET
Last Name:BINDRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3417 GASTON AVE STE 700
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-2031
Mailing Address - Country:US
Mailing Address - Phone:972-993-5000
Mailing Address - Fax:972-993-5001
Practice Address - Street 1:8144 WALNUT HILL LN STE 360
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4324
Practice Address - Country:US
Practice Address - Phone:972-993-8350
Practice Address - Fax:972-993-8351
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL8283207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1661043-01Medicaid
TX8J0307OtherBC/BS
TXP00184141OtherRR MEDICARE
TX8J0307OtherBC/BS
TXI05250Medicare UPIN