Individual
RAKESH M BHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2211 GENESEE ST, SUITE 200, UTICA, NY 13501-5930
(315) 733-7598
(315) 733-7694
Mailing address
2211 GENESEE ST, SUITE 200, UTICA, NY 13501-5930
(315) 733-7598
(315) 733-7694
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
193884
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01865618
—
NY
Enumeration date
06/30/2005
Last updated
07/10/2014
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