Provider Demographics
NPI:1780244657
Name:BHINDER, JASMINE (MD)
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:
Last Name:BHINDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2917 MAIN STREET
Mailing Address - Street 2:UNIT 117
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14214
Mailing Address - Country:US
Mailing Address - Phone:516-547-1513
Mailing Address - Fax:
Practice Address - Street 1:955 MAIN STREET
Practice Address - Street 2:SUITE 7230
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14203-1121
Practice Address - Country:US
Practice Address - Phone:716-829-2012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-13
Last Update Date:2020-02-24
Deactivation Date:2020-01-17
Deactivation Code:
Reactivation Date:2020-02-24
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program