DR. SHARWAN K BAGLA MD NPI 1043201189

NPI Information

NPI: 1043201189
Provider Name: DR. SHARWAN K BAGLA, MD
Classification: Internal Medicine - 207RA0000X
Entity Type: Individual

Specialization: Adolescent Medicine

Address:
99 MAIN ST
KINGS PARK, NY
ZIP 11754
Phone: (631) 269-5550
Get Directions

DR. Sharwan K Bagla, MD is an adolescent medicine internal medicine in Kings Park, NY. The provider is an internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. DR. Sharwan K Bagla, MD NPI is 1043201189. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

99 MAIN ST
KINGS PARK, NY
ZIP 11754-706
Phone: (631) 269-5550
Fax: (631) 269-6304

The enumeration date for this NPI number is 10/28/2005 and was last updated on 11/9/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RA0000X	Internal Medicine	Adolescent Medicine	127799	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	A98557	MEDICARE UPIN	NEW YORK
2	06A921	MEDICARE ID-TYPE UNSPECIFIED
3	418222	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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