Individual
OMKAR R BAXI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12100 BLACK SWAN DR STE 201, LEWES, DE 19958-4991
(302) 644-3311
(302) 644-3300
Mailing address
211 EXECUTIVE DR STE 11, NEWARK, DE 19702-3358
(302) 731-2888
(302) 731-7049
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
C1-0013780
DE
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
C1-0013780
DE
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184681488
COMMERCIAL INSURANCE
—
Enumeration date
04/17/2014
Last updated
09/30/2022
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