Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0120X | Pediatric Surgery | A108600 | CA |
N | 2086S0120X | Pediatric Surgery | M3661 | TX |
NPI | 1205121704 |
---|---|
Provider Name | Bindi Naik-Mathuria |
First Address | West Hollywood, CA 90046-5503 |
Second Address | West Hollywood, CA 90046-5503 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2011 |
Last Update Date | 13/06/2011 |