Provider Demographics
NPI:1639150220
Name:ALEXANDER, BINDU JEAN (MD)
Entity Type:Individual
Prefix:DR
First Name:BINDU
Middle Name:JEAN
Last Name:ALEXANDER
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 1:401S MAIN STREET
Mailing Address - Street 2:SUITE A1
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009-1917
Mailing Address - Country:US
Mailing Address - Phone:678-585-1639
Mailing Address - Fax:678-585-1623
Practice Address - Street 1:401S MAIN STREET
Practice Address - Street 2:SUITE A1
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009-1917
Practice Address - Country:US
Practice Address - Phone:678-585-1639
Practice Address - Fax:678-585-1623
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-10
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA56798207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA056798OtherGA MEDICAL LICENCE
GA433598109AMedicaid
GA056798OtherGA MEDICAL LICENCE
11SCFSNMedicare PIN