Himabindu Bandaru, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

084792 Issued in OH

Practice address

4522 Fredericksburg Rd
Suite A10
San Antonio, TX 78201-6521

Phone

(614) 257-5741

NPI assigned

Oct 19, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470355200000",
    "number": "1871675942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18111 MUIR GLEN DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782575064",
            "telephone_number": "937-427-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4522 FREDERICKSBURG RD",
            "address_2": "SUITE A10",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782016521",
            "telephone_number": "614-257-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDARU",
        "first_name": "HIMABINDU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2016-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "084792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessie Kahlendo Banda, PHARM D
• Jonathan Ray Banda
• Kassandra Banda, PT, DPT
• Stefanie Diane Banda, LPC
• Ghassan Salim Issa Bandak, MD
• Fatma Banday
• Sujani Bandela, MD
• Bandera Dental
• Bandera Dental Office
• Bandera Emergency Physicians, PLLC

• Internal Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.