Provider Demographics
NPI:1942229117
Name:RIMAL, BINAYA (MD)
Entity Type:Individual
Prefix:
First Name:BINAYA
Middle Name:
Last Name:RIMAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:BINAYA
Other - Middle Name:NATH
Other - Last Name:RIMAL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3355 RIVERBEND DR
Mailing Address - Street 2:SUITE 240
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OR
Mailing Address - Zip Code:97477-8800
Mailing Address - Country:US
Mailing Address - Phone:541-687-1712
Mailing Address - Fax:541-687-7943
Practice Address - Street 1:3355 RIVERBEND DR
Practice Address - Street 2:SUITE 240
Practice Address - City:SPRINGFIELD
Practice Address - State:OR
Practice Address - Zip Code:97477-8800
Practice Address - Country:US
Practice Address - Phone:541-687-1712
Practice Address - Fax:541-687-7943
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD150518207R00000X, 207RC0200X, 207RP1001X, 207RP1001X
GA056356207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA170448049AMedicaid
OR500615220Medicaid
GA11SCHJLMedicare PIN
ORR168503Medicare PIN
GAI48513Medicare UPIN
ORR153014Medicare PIN