Individual
SHAMIK BAFNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01046462A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000197817
ANTHEM PROVIDER NUMBER
IN
01
—
10824725
CAQH NUMBER
IN
05
—
200166010
—
IN
01
—
9396814
PHCS PID NUMBER
IN
Enumeration date
03/14/2006
Last updated
10/26/2020
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