MEDICARE: RUCHI BHUTANI M.D.

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
1	207R00000X	Internal Medicine Physician	MD467632	PA

General Provider Information

NPI Number	:	1316328057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUCHI BHUTANI M.D.

Provider Business Mailing Address
First Line	:	1200 OLD YORK RD
Second Line	:
City	:	ABINGTON
State	:	PA
Zip	:	19001-3720
Country	:	US
Telephone Number	:	215-481-2606
Fax Number	:

Provider Business Practice Location Address
First Line	:	7500 CENTRAL AVE STE 104
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19111-2431
Country	:	US
Telephone Number	:	215-742-2712
Fax Number	:	215-742-5218

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2015
Last Update Date	:	07/12/2019

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Directions to “ RUCHI BHUTANI M.D.” Practice Location

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