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1700888955

NPI Code Detail

MEDICARE: DR. ROHIT BAWA MD

MEDICARE: DR. ROHIT BAWA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	35.068311	OH
2	207Y00000X	Otolaryngology Physician	01042208A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000000841099	OTHER		ANTHEM (REID PHYSICIAN ASSOCIATES, INC.)
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700888955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROHIT BAWA MD

Provider Business Mailing Address
First Line	:	1100 REID PKWY
Second Line	:	MEDICAL STAFF SERVICES DEPARTMENT
City	:	RICHMOND
State	:	IN
Zip	:	47374-1157
Country	:	US
Telephone Number	:	765-966-1600
Fax Number	:	765-962-9641

Provider Business Practice Location Address
First Line	:	1434 CHESTER BLVD
Second Line	:
City	:	RICHMOND
State	:	IN
Zip	:	47374-1947
Country	:	US
Telephone Number	:	765-966-1600
Fax Number	:	765-962-9641

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	05/12/2021

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Directions to “ DR. ROHIT BAWA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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