Provider Demographics
NPI:1467896977
Name:BAY MEDICAL CONSULTING, LLC
Entity Type:Organization
Organization Name:BAY MEDICAL CONSULTING, LLC
Other - Org Name:BIBI HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACCESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANUPREET
Authorized Official - Middle Name:
Authorized Official - Last Name:SIDHU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-414-3050
Mailing Address - Street 1:2139 E PRIMROSE ST STE A
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-4586
Mailing Address - Country:US
Mailing Address - Phone:417-414-3050
Mailing Address - Fax:417-881-8862
Practice Address - Street 1:2139 E PRIMROSE ST STE A
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-4586
Practice Address - Country:US
Practice Address - Phone:417-414-3050
Practice Address - Fax:417-881-8862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-26
Last Update Date:2022-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO173029Medicare UPIN