Organization
G. S. BINDRA, M.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVI BINDRA (OFFICE MANAGER)
(731) 286-0149
Entity
Organization
Contact information
Practice address
315 E TICKLE ST STE A, DYERSBURG, TN 38024-3117
(731) 286-0149
(731) 334-5041
Mailing address
260 OAK RIDGE RD, DYERSBURG, TN 38024-0701
(731) 286-0149
(731) 334-5041
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
21989
TN
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093716490
INDIVIDUAL NPI
—
01
—
1750515532
GROUP NPI
—
05
—
3064931
—
TN
05
—
Q002829
—
TN
Enumeration date
05/08/2009
Last updated
04/12/2022
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