Provider Demographics
NPI:1619978400
Name:GEORGE, BINDU (MD)
Entity Type:Individual
Prefix:
First Name:BINDU
Middle Name:
Last Name:GEORGE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 N. ROCKVILLE PIKE
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852
Mailing Address - Country:US
Mailing Address - Phone:301-827-9419
Mailing Address - Fax:301-827-9796
Practice Address - Street 1:1401 N. ROCKVILLE PIKE
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852
Practice Address - Country:US
Practice Address - Phone:301-827-9419
Practice Address - Fax:301-827-9796
Is Sole Proprietor?:No
Enumeration Date:2005-08-03
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0056314207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD7924607OtherAETNA
WV0081294000Medicaid
MD029902200Medicaid
MD2124846OtherMAMSI
MD610236000OtherDEPARTMENT OF LABOR
MD01960003OtherCAREFIRST FEDERAL
WV3810004318Medicaid
MD64125701OtherCAREFIRST
MD3601886OtherUNITED HEALTHCARE
MD522074387OtherTAX ID
MD610236000OtherDEPARTMENT OF LABOR
MD01960003OtherCAREFIRST FEDERAL
H33970Medicare UPIN