Provider Demographics
NPI:1962866541
Name:SANJAY & ARCHANA BINDRA, MDS INC
Entity Type:Organization
Organization Name:SANJAY & ARCHANA BINDRA, MDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SANJAY
Authorized Official - Middle Name:
Authorized Official - Last Name:BINDRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:510-516-7677
Mailing Address - Street 1:177 TELLES LN
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-5406
Mailing Address - Country:US
Mailing Address - Phone:510-516-7677
Mailing Address - Fax:650-763-9070
Practice Address - Street 1:175 N JACKSON AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1909
Practice Address - Country:US
Practice Address - Phone:510-516-7677
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-08
Last Update Date:2016-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA72359207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac ElectrophysiologyGroup - Multi-Specialty