Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251C2600X | Cardiopulmonary | 2305203745 | VA |
NPI | 1811908569 |
---|---|
Provider Name | Bindi P Naik |
First Address | Fairfax, VA 22030 |
Second Address | Reston, VA 20190 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2006 |
Last Update Date | 08/07/2007 |