Provider Demographics
NPI:1841415049
Name:BAPNA, SUMIT (MD)
Entity Type:Individual
Prefix:DR
First Name:SUMIT
Middle Name:
Last Name:BAPNA
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 1:6325 EMERALD PKWY
Mailing Address - Street 2:STE 1B
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-3241
Mailing Address - Country:US
Mailing Address - Phone:614-876-6673
Mailing Address - Fax:614-876-8674
Practice Address - Street 1:6325 EMERALD PKWY STE 1B
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-3241
Practice Address - Country:US
Practice Address - Phone:614-876-6673
Practice Address - Fax:614-876-8674
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350882212082S0099X
OH35.088221207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No2082S0099XAllopathic & Osteopathic PhysiciansPlastic SurgeryPlastic Surgery Within the Head and Neck
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9289121Medicare PIN
OHBA4267821Medicare PIN
OH9289122Medicare PIN
OHBA4267822Medicare PIN