Individual
RAJIV VIJAY BHUTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-2772
(215) 707-5978
Mailing address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-9900
(215) 707-3831
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD460246
PA
Other
Enumeration date
05/07/2014
Last updated
06/23/2021
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