Individual
SVETLANA BUCCHINO
Active
Individual
SVETLANA BUCCHINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01057078A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200402820A
—
IN
05
—
300023959
—
IN
01
—
M22404317
MEDICARE PTAN
IN
Enumeration date
07/23/2006
Last updated
03/27/2024
Update your record
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