Individual
SHIVANI BHUTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8120 TIMBERLAKE WAY, SUITE 107, SACRAMENTO, CA 95823-5412
(916) 681-6000
(916) 681-6188
Mailing address
3400 DATA DR, QUALITY DEPARTMENT, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301085893
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
4301085893
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
C146231
CA
Other
Enumeration date
01/15/2008
Last updated
03/03/2017
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