Individual
LUNA BHATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
90 PRESIDENTIAL PLZ, 5TH FLOOR, SYRACUSE, NY 13202-2240
(315) 464-9335
(315) 464-9338
Mailing address
90 PRESIDENTIAL PLZ, 5TH FLOOR, SYRACUSE, NY 13202-2240
(315) 464-9335
(315) 464-9338
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
002018
NY
207RC0001X
Clinical Cardiac Electrophysiology Physician
002018
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02472613
—
NY
Enumeration date
05/22/2006
Last updated
05/18/2010
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