Provider Demographics
NPI:1639113590
Name:BINDAL, VANDANA N (MD)
Entity Type:Individual
Prefix:
First Name:VANDANA
Middle Name:N
Last Name:BINDAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6107 SW MURRAY BLVD
Mailing Address - Street 2:# 516
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97008-4421
Mailing Address - Country:US
Mailing Address - Phone:503-320-2121
Mailing Address - Fax:503-641-4158
Practice Address - Street 1:14355 SW ALLEN BLVD
Practice Address - Street 2:130
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-4700
Practice Address - Country:US
Practice Address - Phone:503-320-2121
Practice Address - Fax:503-641-4158
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ORMD23239207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORH53457Medicare UPIN