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Individual

DIVAYA BHUTANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
161 FORT WASHINGTON AVE, NEW YORK, NY 10032-3729
(646) 317-4805
(212) 305-8111
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
(646) 317-4805
(212) 305-8111

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301095690
MI
207RH0000X
Hematology (Internal Medicine) Physician
Primary
290637
NY
207RH0003X
Hematology & Oncology Physician
4301095690
MI
207RX0202X
Medical Oncology Physician
290637
NY
208M00000X
Hospitalist Physician
E-5229
AR

Other

Enumeration date
06/12/2007
Last updated
07/21/2022
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