Healthcare Provider Details

I. General information

NPI: 1700086808
Provider Name (Legal Business Name): FAISAL BHINDER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2007
Last Update Date: 07/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9711 MEDICAL CENTER DR SUITE 308
ROCKVILLE MD
20850-3323
US

IV. Provider business mailing address

12510 PROSPERITY DR SUITE 200
SILVER SPRING MD
20904-1663
US

V. Phone/Fax

Practice location:
  • Phone: 301-251-1244
  • Fax: 301-340-9360
Mailing address:
  • Phone: 240-485-5200
  • Fax: 301-625-6906

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberD0066095
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: