Provider Demographics
NPI:1740543032
Name:SHAJITH, BINDIYA (MED)
Entity type:Individual
Prefix:
First Name:BINDIYA
Middle Name:
Last Name:SHAJITH
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2305 BRASSTOWN LN
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-5799
Mailing Address - Country:US
Mailing Address - Phone:919-363-2374
Mailing Address - Fax:
Practice Address - Street 1:300 ASHEVILLE AVE
Practice Address - Street 2:SUITE # 240
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-8682
Practice Address - Country:US
Practice Address - Phone:919-794-5477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-21
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent