Individual
PENPA BHUTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-3377
Mailing address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(347) 345-5447
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
318507
NY
208M00000X
Hospitalist Physician
Primary
318507
NY
Other
Enumeration date
05/21/2019
Last updated
07/23/2023
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