Individual
SACHIN VIMAL BAHADUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
310 N L ROGERS WELLS BLVD, GLASGOW, KY 42141
(270) 651-1111
Mailing address
310 N L ROGERS WELLS BLVD, GLASGOW, KY 42141-1300
(270) 651-1111
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
51065
KY
207L00000X
Anesthesiology Physician
01085908A
IN
207L00000X
Anesthesiology Physician
51065
KY
207LP2900X
Pain Medicine (Anesthesiology) Physician
01085908A
IN
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
51065
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001605829
ANTHEM PTAN
IN
01
—
000001606140
ANTHEM PTAN
IN
05
—
300054696
—
IN
05
—
7100506820
—
KY
Enumeration date
06/25/2013
Last updated
11/21/2024
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