Basic Information
Provider Information
NPI: 1467668483
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BINDRA
FirstName: MONISHA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6TH AVENUE AND SPRUCE STREET
Address2:  
City: WEST READING
State: PA
PostalCode: 196111412
CountryCode: US
TelephoneNumber: 4846283637
FaxNumber: 4846288773
Practice Location
Address1: 6TH AVENUE AND SPRUCE STREET
Address2:  
City: WEST READING
State: PA
PostalCode: 196111412
CountryCode: US
TelephoneNumber: 4846283637
FaxNumber: 4846288773
Other Information
ProviderEnumerationDate: 05/15/2007
LastUpdateDate: 06/06/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000XOS014269PAY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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