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General NPI Number Information
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NPI Number | 1669844460
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Entity Type | Organization
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Legal Business Name | GUTHEALTH MEDICAL P C
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Dates
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Enumeration Date | 10/20/2015
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Last Update Date | 08/18/2022
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Provider Practice Location Address
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Address Line | 297 ADELPHI ST
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City | BROOKLYN
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State | NY
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Zip | 11205-4602
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Country | US
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Telephone | 718-395-2121
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Fax |
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Provider Business Mailing Address
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Address Line | 55 GREENE AVE STE 1A
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City | BROOKLYN
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State | NY
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Zip | 11238-6432
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MD
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Name | KIRAN K BHAT
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Credential |
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Telephone | 718-398-2121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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