Bagla, Sharwan K
Bagla, Sharwan K is an sole proprietor health care provider with primary practice located at 99 Main St , Kings Park NY 11754-2706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Bagla, Sharwan K can be contacted via phone (631) 269-5550.Contact Information
Primary practice address
99 Main St
Kings Park NY 11754-2706
Phone: (631) 269-5550
Fax: (631) 269-6304
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 207RA0000X | 127799 | New York |
Profile Details
| NPI number | 1043201189 |
|---|---|
| LBN Legal business name | Bagla, Sharwan K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 28th, 2005 |
| Last updated | Nov 9th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043201189 | NPPES |
| New York | MEDICAID | 418222 |
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