Individual
DR. BHAGWANDAS L SUTARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 PRATHER AVENUE, JAMESTOWN, NY 14701-6820
(716) 664-5712
(716) 664-4111
Mailing address
320 PRATHER AVENUE, JAMESTOWN, NY 14701-6820
(716) 664-5712
(716) 664-4111
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
119406
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000507251001
BCBS
—
05
—
00640253
—
NY
Enumeration date
07/14/2006
Last updated
08/20/2007
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