Healthcare Provider Details

I. General information

NPI: 1851082226
Provider Name (Legal Business Name): SAMJHAUTA BHATTARAI M.B.B.S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2023
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 DATES DRIVE CAYUGA MEDICAL CENTER
ITHACA NY
14850
US

IV. Provider business mailing address

INTERNAL MEDICINE RESIDENCY CAYUGA MEDICAL CENTER 101 DATES DRIVE
ITHACA NY
14850
US

V. Phone/Fax

Practice location:
  • Phone: 607-274-4225
  • Fax:
Mailing address:
  • Phone: 607-339-0494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number346330
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: