Basic Information
| Provider Information | |||||||||
| NPI: | 1841593860 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHANDRAN | ||||||||
| FirstName: | BINDU | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2670 S WHITE RD | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | SAN JOSE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 951482071 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4087294290 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1066 S WHITE RD | ||||||||
| Address2: | SUITE 170 | ||||||||
| City: | SAN JOSE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 951273812 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4087299700 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/14/2010 | ||||||||
| LastUpdateDate: | 12/17/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | A114389 | CA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | A114389 | 01 | CA | CA MEDICAL LICENSE | OTHER |