Internal Medicine Consultants PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD23239 Issued in OR

Legal business name

INTERNAL MEDICINE CONSULTANTS PC

Practice address

14355 SW Allen Blvd
130
Beaverton, OR 97005-4700

Phone

(503) 320-2121

Fax

(503) 641-4158

NPI assigned

Jun 3, 2006

Organization subpart

No

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

Authorized official

Name

Vandana Niraj Bindal, M.D.NPI 1639113590

Title

President

Phone

(503) 320-2121

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vandana N Bindal, M.D.

  • Internal Medicine Physician
  • Beaverton, OR
  • NPI 1639113590
  Medicare reassignment Authorized official
• Nivedita Bansal, MD

  • Internal Medicine Physician
  • Parsippany, NJ
  • NPI 1033180880
  NPD (past)

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1932147600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6107 SW MURRAY BLVD",
            "address_2": "# 516",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970084421",
            "telephone_number": "503-320-2121",
            "fax_number": "503-641-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14355 SW ALLEN BLVD",
            "address_2": "130",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054700",
            "telephone_number": "503-320-2121",
            "fax_number": "503-641-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "BINDAL",
        "authorized_official_first_name": "VANDANA",
        "authorized_official_middle_name": "NIRAJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-320-2121",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD23239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Interconnect Bodyworks LLC (Rebalance MLD and Massage Services)
• Thomas Wade Irby, R.PH.
• Irina Moga DDS PC
• Evelyn Irish, COTA/L
• Lahela Joy Isaacson, LMFT
• Mariacristina Isaza-Chapman, MA. LPC

• Internal Medicine Physician in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Internal Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.