Provider Demographics
NPI:1699919092
Name:VALSANGKAR, BINA P (MD)
Entity type:Individual
Prefix:
First Name:BINA
Middle Name:P
Last Name:VALSANGKAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19261 MONTGOMERY VILLAGE AVE
Mailing Address - Street 2:SUITE G15
Mailing Address - City:MONTGOMERY VILLAGE
Mailing Address - State:MD
Mailing Address - Zip Code:20886-5026
Mailing Address - Country:US
Mailing Address - Phone:301-977-4100
Mailing Address - Fax:
Practice Address - Street 1:19261 MONTGOMERY VILLAGE AVE
Practice Address - Street 2:SUITE G15
Practice Address - City:MONTGOMERY VILLAGE
Practice Address - State:MD
Practice Address - Zip Code:20886-5026
Practice Address - Country:US
Practice Address - Phone:301-977-4100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-29
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0080743208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics