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Individual

DR. ROHIT BAWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1434 CHESTER BLVD, RICHMOND, IN 47374-1947
(765) 966-1600
(765) 962-9641
Mailing address
1100 REID PKWY, MEDICAL STAFF SERVICES DEPARTMENT, RICHMOND, IN 47374-1157
(765) 966-1600
(765) 962-9641

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
01042208A
IN
207Y00000X
Otolaryngology Physician
35.068311
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000841099
ANTHEM (REID PHYSICIAN ASSOCIATES, INC.)
05
0848355
OH
05
100475120
IN
Enumeration date
06/01/2005
Last updated
05/12/2021
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