Bawa, Nitin
Bawa, Nitin is an individual health care provider with primary practice located at 4476 Legendary Dr Ste 100 , Destin FL 32541-5347. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bawa, Nitin can be contacted via phone (850) 424-7320.Contact Information
Primary practice address
4476 Legendary Dr Ste 100
Destin FL 32541-5347
Phone: (850) 424-7320
Fax: (850) 424-7322
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME91017 | Florida |
Profile Details
| NPI number | 1972536266 |
|---|---|
| LBN Legal business name | Bawa, Nitin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2006 |
| Last updated | Jun 22nd, 2023 - about last year |
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 | 1972536266 | NPPES |
| Florida | MEDICAID | 270726800 |
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