Individual
DR. SHANTIKUMAR D. BEDMUTHA
Active
Individual
DR. SHANTIKUMAR D. BEDMUTHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
147852-1
NY
2085R0202X
Diagnostic Radiology Physician
Primary
147852-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011395901
UNIVERA
—
01
—
00026885902
UNIVERA
—
01
—
000524500002
BLUE SHIELD OF WESTERN NY
—
01
—
000525091012
BLUE SHIELD OF WESTERN NY
—
01
—
000525091013
BLUE SHIELD OF WESTERN NY
—
01
—
00525091015
BLUE SHIELD OF WESTERN NY
—
05
—
01561462
—
NY
01
—
040426001647
FIDELIS
—
01
—
10136630
FIDELIS
—
01
—
145801FF
PREFERRED CARE
—
01
—
1609861
INDEPENDENT HEALTH
—
01
—
300081886
RAILROAD MEDICARE
—
01
—
300097080
RAILROAD MEDICARE
—
01
—
P00003643
RAILROAD MEDICARE
—
01
—
P00080950
MEDICARE RAILROAD
NY
01
—
R1478521
WORKERS COMPENSATION
NY
Enumeration date
04/19/2006
Last updated
07/29/2008
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