Individual
DR. ISHWARLAL BHUTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1722 PINE STREET, SUITE 801, MONTGOMERY, AL 36106
(334) 263-1026
(334) 263-1027
Mailing address
1722 PINE STREET, SUITE 801, MONTGOMERY, AL 36106
(334) 263-1026
(334) 263-1027
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
6376
AL
2086S0129X
Vascular Surgery Physician
Primary
6376
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000434
—
AL
Enumeration date
12/05/2006
Last updated
02/07/2014
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