Individual
VIWATHNA BHUTHIMETHEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
654 E BROADWAY, ALTON, IL 62002-6308
(618) 462-7488
(618) 462-9896
Mailing address
654 E BROADWAY, ALTON, IL 62002-6308
(618) 462-7488
(618) 462-9896
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
IL
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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