Provider Demographics
NPI:1710936596
Name:BORRA, HIMABINDU (MD)
Entity Type:Individual
Prefix:
First Name:HIMABINDU
Middle Name:
Last Name:BORRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HIMABINDU
Other - Middle Name:
Other - Last Name:GUTTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3851 ROGER BROOKE DRIVE, MCHEQD(CREDS)
Mailing Address - Street 2:
Mailing Address - City:FORST SAM HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:78234-6200
Mailing Address - Country:US
Mailing Address - Phone:210-916-6667
Mailing Address - Fax:
Practice Address - Street 1:3851 ROGER BROOKE DRIVE, MCHEQD(CREDS)
Practice Address - Street 2:
Practice Address - City:FORST SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234-6200
Practice Address - Country:US
Practice Address - Phone:210-916-6667
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01061573A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine