Individual
DHIREN BUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
616 19TH ST, COLUMBUS, GA 31901-1528
(706) 494-4262
Mailing address
2029 OSPREY COVE DR, COLUMBUS, GA 31904-2037
(317) 882-5869
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
058443
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-518-724-0
ECFMG
GA
01
—
35079
BOARD OF ANESTHESIOLOGY
GA
05
—
401265052A
—
GA
05
—
401265052B
—
GA
Enumeration date
11/20/2006
Last updated
10/06/2007
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