Individual
DR. RAVI BHUPATLAL SUTARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11203 QUEENS BLVD STE 209, FOREST HILLS, NY 11375
(347) 960-7501
(347) 960-7402
Mailing address
11203 QUEENS BLVD STE 209, FOREST HILLS, NY 11375-5550
(347) 960-7501
(347) 960-7402
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
276084
NY
207RR0500X
Rheumatology Physician
053699
CT
207RR0500X
Rheumatology Physician
Primary
276084
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3972603
—
NY
Enumeration date
04/07/2011
Last updated
10/29/2019
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