Healthcare Provider Details

I. General information

NPI: 1679006423
Provider Name (Legal Business Name): CHRISTINE DHIMAN BHINDER DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHRISTINE DHIMAN

II. Dates (important events)

Enumeration Date: 04/09/2017
Last Update Date: 07/20/2020
Certification Date: 07/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1159 W JEFFERSON ST STE 204
FRANKLIN IN
46131-2795
US

IV. Provider business mailing address

6421 FALLING TREE WAY
INDIANAPOLIS IN
46236-7724
US

V. Phone/Fax

Practice location:
  • Phone: 317-346-7722
  • Fax: 317-346-7725
Mailing address:
  • Phone: 435-760-5592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number41000358A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: