Individual
ABHISHEK SHASHIKANT BHUTADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(805) 428-4049
Mailing address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
0116039100
VA
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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