Bawa, Vikas S.
Bawa, Vikas S. is an sole proprietor health care provider with primary practice located at 1060 Broad St Lower Level Medical Office, Newark NJ 07102-2397. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Bawa, Vikas S. can be contacted via phone (973) 642-6500.Contact Information
Primary practice address
1060 Broad St Lower Level Medical Office
Newark NJ 07102-2397
Phone: (973) 642-6500
Fax: (973) 741-2700
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 25MD00260200 | New Jersey |
Profile Details
| NPI number | 1053480475 |
|---|---|
| LBN Legal business name | Bawa, Vikas S. |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2006 |
| Last updated | Sep 4th, 2008 - about 16 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 | 1053480475 | NPPES |
| New Jersey | MEDICAID | 8560005 |
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