Provider Demographics
NPI:1558350835
Name:BARUA, SAMBIT K (MD)
Entity Type:Individual
Prefix:
First Name:SAMBIT
Middle Name:K
Last Name:BARUA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:124 DORCHESTER SQ S
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-7302
Mailing Address - Country:US
Mailing Address - Phone:614-523-2211
Mailing Address - Fax:614-523-2288
Practice Address - Street 1:275 TAYLOR STATION RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-1445
Practice Address - Country:US
Practice Address - Phone:614-523-2211
Practice Address - Fax:614-523-2288
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35049725B207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0574810Medicaid
OH0574810Medicaid
OHBA0560791Medicare PIN