Healthcare Provider Details

I. General information

NPI: 1033318555
Provider Name (Legal Business Name): BHANU T PATURI M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2007
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

931 HIGHLAND BLVD STE 3350
BOZEMAN MT
59715-6914
US

IV. Provider business mailing address

5030 CASTAWAY LN
HOFFMAN ESTATES IL
60010-5510
US

V. Phone/Fax

Practice location:
  • Phone: 406-414-5331
  • Fax:
Mailing address:
  • Phone: 309-643-5255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number036125318
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number152645
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberMD230546
License Number StateOR
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number125052365
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: