Basic Information
Provider Information
NPI: 1326206855
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BINDRA
FirstName: RANJIT
MiddleName: S
NamePrefix: DR.
NameSuffix:  
Credential: M.D., PH.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 208040, 333 CEDAR ST.
Address2: YALE MEDICAL SCHOOL, DEPT. OF THERAPEUTIC RADIOLOGY
City: NEW HAVEN
State: CT
PostalCode: 065208040
CountryCode: US
TelephoneNumber: 2035840924
FaxNumber:  
Practice Location
Address1: 20 YORK STREET, SMILOW CANCER HOSPITAL, YALE NEW HAVEN
Address2: LOWER LEVEL
City: NEW HAVEN
State: CT
PostalCode: 06510
CountryCode: US
TelephoneNumber: 2032002100
FaxNumber: 2037854622
Other Information
ProviderEnumerationDate: 05/31/2008
LastUpdateDate: 03/01/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0001X050706CTY Allopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


Home