Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 35.137263 | OH |
N | 208000000X | Pediatrician | 35.137263 | OH |
N | 2080N0001X | Neonatal-Perinatal Doctor | 35.137263 | OH |
NPI | 1487949418 |
---|---|
Provider Name | Bimal Pankaj Chaudhari |
First Address | Columbus, OH 43205-2664 |
Second Address | Columbus, OH 43205-2664 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2011 |
Last Update Date | 04/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0364432 | (05) | OH |
H698050 | CGS - MEDICARE (01) | OH |