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NPI Code Detail

MEDICARE: DR. BINDU RAJU M.D.

MEDICARE: DR. BINDU RAJU M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianL7466TX
2208M00000XHospitalist PhysicianME138676FL
3207R00000XInternal Medicine PhysicianME138676FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21356361976OTHERTXGROUP NPI

General Provider Information

NPI Number : 1326031303
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BINDU RAJU M.D.
Provider Business Mailing Address
First Line : 4200 SUN N LAKE BLVD
Second Line :
City : SEBRING
State : FL
Zip : 33872-1986
Country : US
Telephone Number : 863-402-3402
Fax Number : 863-402-3111
Provider Business Practice Location Address
First Line : 4200 SUN N LAKE BLVD
Second Line :
City : SEBRING
State : FL
Zip : 33872-1986
Country : US
Telephone Number : 863-402-3402
Fax Number : 863-402-3111
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2005
Last Update Date : 03/07/2019

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Directions to “ DR. BINDU RAJU M.D.” Practice Location

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