Bafna, Shamik
Bafna, Shamik is an individual health care provider with primary practice located at 2600 Greenbush Street , Lafayette IN 47904-2479. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Bafna, Shamik can be contacted via phone (765) 448-8000.Contact Information
Primary practice address
2600 Greenbush Street
Lafayette IN 47904-2479
Phone: (765) 448-8000
Fax: (765) 448-8335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 01046462A | Indiana |
Profile Details
| NPI number | 1740259829 |
|---|---|
| LBN Legal business name | Bafna, Shamik |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Oct 26th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740259829 | NPPES |
| Indiana | Other | 9396814 | PHCS PID NUMBER |
| Indiana | Other | 10824725 | PHCS PID NUMBER |
| Indiana | Other | 000000197817 | PHCS PID NUMBER |
| Indiana | MEDICAID | 200166010 | PHCS PID NUMBER |
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