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NPI Code Detail

MEDICARE: DR. SAMAY BHUSHAN

MEDICARE: DR. SAMAY BHUSHAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician35.153310OH

General Provider Information

NPI Number : 1194348623
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAMAY BHUSHAN
Provider Business Mailing Address
First Line : PO BOX 80690
Second Line :
City : CANTON
State : OH
Zip : 44708-0690
Country : US
Telephone Number : 330-363-7444
Fax Number : 330-363-7770
Provider Business Practice Location Address
First Line : PO BOX 80690
Second Line :
City : CANTON
State : OH
Zip : 44708-0690
Country : US
Telephone Number : 330-363-7444
Fax Number : 330-363-7770
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2020
Last Update Date : 04/10/2026

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Directions to “ DR. SAMAY BHUSHAN ” Practice Location

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