Individual
HIMANSHU BHUTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1717 S J ST, TACOMA, WA 98405-4933
(253) 426-6341
(253) 426-6344
Mailing address
1717 S J ST, TACOMA, WA 98405-4933
(253) 426-6341
(253) 426-6344
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60142647
WA
208M00000X
Hospitalist Physician
Primary
MD60142647
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0265848
STATE L&I
WA
05
—
2008335
—
WA
Enumeration date
03/10/2008
Last updated
08/05/2021
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