Provider Demographics
NPI:1679006423
Name:BHINDER, CHRISTINE DHIMAN (DPM)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:DHIMAN
Last Name:BHINDER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:DHIMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6421 FALLING TREE WAY
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46236-7724
Mailing Address - Country:US
Mailing Address - Phone:435-760-5592
Mailing Address - Fax:
Practice Address - Street 1:1159 W JEFFERSON ST STE 204
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:IN
Practice Address - Zip Code:46131-2795
Practice Address - Country:US
Practice Address - Phone:317-346-7722
Practice Address - Fax:317-346-7725
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-09
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN41000358A213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN07001350BOtherCSR LICENSE
IN07001350AOtherDPM LICENSE