Internal Medicine Consultants Pc | |
14355 Sw Allen Blvd 130 Beaverton OR 97005-4700 | |
(503) 320-2121 | |
(503) 641-4158 |
Full Name | Internal Medicine Consultants Pc |
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Speciality | Internal Medicine |
Location | 14355 Sw Allen Blvd, Beaverton, Oregon |
Authorized Official Name and Position | Vandana Niraj Bindal (PRESIDENT) |
Authorized Official Contact | 5033202121 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Internal Medicine Consultants Pc 6107 Sw Murray Blvd # 516 Beaverton OR 97008-4421 Ph: (503) 320-2121 | Internal Medicine Consultants Pc 14355 Sw Allen Blvd 130 Beaverton OR 97005-4700 Ph: (503) 320-2121 |
NPI Number | 1932147600 |
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Provider Enumeration Date | 06/03/2006 |
Last Update Date | 03/03/2014 |
Medicare PECOS PAC ID | 7416959911 |
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Medicare Enrollment ID | O20070402000628 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932147600 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD23239 (Oregon) | Primary |
Provider Name | Vandana N Bindal |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639113590 PECOS PAC ID: 9133121635 Enrollment ID: I20070402000669 |
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