Provider Demographics
NPI:1629620323
Name:BAPNA FACIAL PLASTICS LLC
Entity Type:Organization
Organization Name:BAPNA FACIAL PLASTICS LLC
Other - Org Name:OHIO FACIAL PLASTICS
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SUMIT
Authorized Official - Middle Name:
Authorized Official - Last Name:BAPNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-876-6673
Mailing Address - Street 1:5378 AVERY RD
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-6933
Mailing Address - Country:US
Mailing Address - Phone:614-876-6673
Mailing Address - Fax:614-876-8674
Practice Address - Street 1:5378 AVERY RD
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-6933
Practice Address - Country:US
Practice Address - Phone:614-876-6673
Practice Address - Fax:614-876-8674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-12
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & NeckGroup - Single Specialty