Individual
HABIB A BHUTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14201 LAUREL PARK DR STE 102, LAUREL, MD 20707-5203
(301) 490-3443
(301) 490-0200
Mailing address
14201 LAUREL PARK DR STE 102, LAUREL, MD 20707-5203
(301) 490-3443
(301) 490-0200
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D0024364
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
781621900
—
MD
Enumeration date
10/02/2006
Last updated
11/22/2024
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