Individual
MASHUQ RAHMAN BHUIYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1537 S SCATTERFIELD RD STE A, ANDERSON, IN 46016-5783
(765) 649-4995
Mailing address
12154 TWYCKENHAM DR, FISHERS, IN 46037-4504
(317) 760-8087
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.033736
IL
122300000X
Dentist
Primary
12014567A
IN
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
05/10/2022
Last updated
10/30/2024
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