Healthcare Provider Details

I. General information

NPI: 1356227904
Provider Name (Legal Business Name): BHINDER MD CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2025
Last Update Date: 04/05/2026
Certification Date: 04/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1303 MABLE AVE
MODESTO CA
95355-1119
US

IV. Provider business mailing address

PO BOX 5705
EVANSVILLE IN
47716-5705
US

V. Phone/Fax

Practice location:
  • Phone: 209-232-4350
  • Fax:
Mailing address:
  • Phone: 812-492-1960
  • Fax: 812-479-7865

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: HARSIMRAN BHINDER
Title or Position: OWNER
Credential: MD
Phone: 209-232-4350