MEDICARE: DR. RAMSHA ALI BHUTTA MD

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	2084N0400X	Neurology Physician	90399	GA

General Provider Information

NPI Number	:	1518443423
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAMSHA ALI BHUTTA MD

Provider Business Mailing Address
First Line	:	2300 MANCHESTER EXPY STE 2001A
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-6802
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2300 MANCHESTER EXPY STE A201
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-6856
Country	:	US
Telephone Number	:	706-243-4550
Fax Number	:

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

Provider Enumeration Date	:	07/13/2018
Last Update Date	:	07/29/2024

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