Individual
VIRENDRA J JUTHANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17 PHEASANT RUN, SCARSDALE, NY 10583-3100
(914) 713-4964
(914) 723-2475
Mailing address
17 PHEASANT RUN, SCARSDALE, NY 10583-3100
(914) 713-4964
(914) 723-2475
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
115176
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00211743
—
NY
Enumeration date
09/28/2005
Last updated
10/04/2010
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