Individual
INDER K BHUTIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 AVENUE F NE, DEPT. OF RADIATION ONCOLOGY, WINTER HAVEN, FL 33881-4131
(863) 297-1865
(863) 291-6025
Mailing address
2715 WEST VIRGINIA AVENUE, TAMPA, FL 33607-6327
(813) 662-6024
(813) 514-1257
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
144735-1
NY
2085R0203X
Therapeutic Radiology Physician
D0024612
MD
2085R0203X
Therapeutic Radiology Physician
MD049357L
PA
2085R0203X
Therapeutic Radiology Physician
Primary
ME42388
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039337100
—
FL
01
—
300112175
RAILROAD MEDICARE
—
01
—
53704
BCBS
FL
01
—
P00909698
RR MEDICARE
FL
Enumeration date
11/22/2005
Last updated
10/04/2012
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