Individual
BINOD BISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
902 W WASHINGTON ST, ATHENS, AL 35611-2438
(256) 216-9777
Mailing address
902 W WASHINGTON ST, ATHENS, AL 35611-2438
(256) 216-9777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31074
AL
Other
Enumeration date
08/18/2008
Last updated
01/09/2012
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