Individual
CHIRDEEP BHUTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3301 C ST, SUITE 500, SACRAMENTO, CA 95816-3300
(916) 556-3300
Mailing address
3400 DATA DR, QUALITY DEPTARTMENT, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
4301082382
MI
2085R0202X
Diagnostic Radiology Physician
4301082382
MI
2085R0202X
Diagnostic Radiology Physician
C145491
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
C145491
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4875836
—
MI
Enumeration date
06/10/2006
Last updated
02/06/2020
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