Individual
OMAR J BHUTTA
Active
Individual
OMAR J BHUTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ML20008350
WA
2080P0203X
Pediatric Critical Care Medicine Physician
15905
NH
2080P0203X
Pediatric Critical Care Medicine Physician
LT-3189
NH
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD174110
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021010
—
VT
05
—
32001711
—
NH
05
—
500693056
—
OR
Enumeration date
08/14/2006
Last updated
12/07/2022
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