Provider Demographics
NPI:1912214511
Name:VIJAY K BINDINGNAVELE MD PA
Entity Type:Organization
Organization Name:VIJAY K BINDINGNAVELE MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VIJAY
Authorized Official - Middle Name:KRISHNA
Authorized Official - Last Name:BINDINGNAVELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-888-7417
Mailing Address - Street 1:5642 ESPLANADE DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-4122
Mailing Address - Country:US
Mailing Address - Phone:361-888-7417
Mailing Address - Fax:361-651-1489
Practice Address - Street 1:5642 ESPLANADE DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414
Practice Address - Country:US
Practice Address - Phone:361-888-7417
Practice Address - Fax:361-651-1489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-03
Last Update Date:2018-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM9865208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty