Provider Demographics
NPI:1205121704
Name:NAIK-MATHURIA, BINDI (MD)
Entity type:Individual
Prefix:
First Name:BINDI
Middle Name:
Last Name:NAIK-MATHURIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BINDI
Other - Middle Name:JAYENDRA
Other - Last Name:NAIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7512 HAMPTON AVE
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90046-5503
Mailing Address - Country:US
Mailing Address - Phone:281-804-6566
Mailing Address - Fax:
Practice Address - Street 1:301 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77555-5503
Practice Address - Country:US
Practice Address - Phone:409-772-6784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-13
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1086002086S0120X
TXM36612086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery