Healthcare Provider Details

I. General information

NPI: 1225066947
Provider Name (Legal Business Name): ARCHANA BINDRA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 11/11/2020
Certification Date: 11/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2585 SAMARITAN DR
SAN JOSE CA
95124-4107
US

IV. Provider business mailing address

2585 SAMARITAN DR
SAN JOSE CA
95124-4107
US

V. Phone/Fax

Practice location:
  • Phone: 408-871-3400
  • Fax: 408-871-5225
Mailing address:
  • Phone: 408-871-3400
  • Fax: 408-871-5225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberA75781
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: