Baghelai, Polya

Baghelai, Polya is an individual health care provider with primary practice located at 211 N Eddy St , South Bend IN 46617-3096. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Baghelai, Polya can be contacted via phone (574) 237-9203.

Contact Information

Primary practice address
211 N Eddy St South Bend IN 46617-3096
Fax: (574) 237-9311
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301084401 Michigan
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01079934A Indiana

Profile Details

NPI number 1912942061
LBN Legal business name Baghelai, Polya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Apr 20th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912942061 NPPES
Other P00214790 RAILROAD MEDICARE
MEDICAID 4626106 RAILROAD MEDICARE

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