=====================================================
General NPI Number Information
=====================================================
NPI Number | 1457050825
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HOT PHYSICIAN PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/24/2023
-----------------------------------------------------
Last Update Date | 02/28/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1 FULTON AVE STE 12A
-----------------------------------------------------
City | HEMPSTEAD
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11550-3648
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-806-1434
-----------------------------------------------------
Fax | 516-213-7005
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1 FULTON AVE STE 12A
-----------------------------------------------------
City | HEMPSTEAD
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11550-3648
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-806-1434
-----------------------------------------------------
Fax | 516-213-7005
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | SARAT BHUMI
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 516-280-6492
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RC0000X
-----------------------------------------------------
Taxonomy Name | Cardiovascular Disease Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------