Provider Demographics
NPI:1467444752
Name:SARODIA, BIPIN D (MD)
Entity Type:Individual
Prefix:
First Name:BIPIN
Middle Name:D
Last Name:SARODIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 E CHEVES ST
Mailing Address - Street 2:PO BOX 100551
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29502-0551
Mailing Address - Country:US
Mailing Address - Phone:843-777-5726
Mailing Address - Fax:843-777-5766
Practice Address - Street 1:555 E CHEVES ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29506-2617
Practice Address - Country:US
Practice Address - Phone:843-777-5726
Practice Address - Fax:843-777-5766
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2016-00009207RP1001X, 207RC0200X
SC40349207RS0012X, 207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0000000340772OtherANTHEM BCBS
OH4801045OtherUNITED HEALTHCARE
OH2024106Medicaid
OH4133051Medicare ID - Type UnspecifiedMEDICARE
OH2024106Medicaid