Provider Demographics
NPI:1154768026
Name:CHANDRASEKARAN, BINDUPRIYA (MD, MRCS)
Entity type:Individual
Prefix:DR
First Name:BINDUPRIYA
Middle Name:
Last Name:CHANDRASEKARAN
Suffix:
Gender:F
Credentials:MD, MRCS
Other - Prefix:DR
Other - First Name:BINDU
Other - Middle Name:
Other - Last Name:CHANDRASEKARAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, MRCS
Mailing Address - Street 1:1624 S I ST STE 204
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-5092
Mailing Address - Country:US
Mailing Address - Phone:253-752-8882
Mailing Address - Fax:253-590-0260
Practice Address - Street 1:1624 S I ST STE 204
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-5092
Practice Address - Country:US
Practice Address - Phone:253-752-8882
Practice Address - Fax:253-590-0260
Is Sole Proprietor?:No
Enumeration Date:2013-05-31
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01083882A208600000X
TXT16622086X0206X
WAMD613883712086X0206X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2243320Medicaid
TX427832701Medicaid
TX427832702Medicaid