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NPI Code Detail

MEDICARE: BHUVANA GUHA MD

MEDICARE: BHUVANA GUHA 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
1207R00000XInternal Medicine PhysicianMD28399TN

General Provider Information

NPI Number : 1376536375
Entity Type Code : Individual
Provider Name (Legal Business Name) : BHUVANA GUHA MD
Provider Business Mailing Address
First Line : PO BOX 699
Second Line :
City : MOUNTAIN HOME
State : TN
Zip : 37684-0699
Country : US
Telephone Number : 423-439-7280
Fax Number : 423-439-8110
Provider Business Practice Location Address
First Line : 325 N STATE OF FRANKLIN RD
Second Line : 1ST FLOOR
City : JOHNSON CITY
State : TN
Zip : 37604-6062
Country : US
Telephone Number : 423-439-7280
Fax Number : 423-439-8110
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2005
Last Update Date : 11/03/2010

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Directions to “ BHUVANA GUHA MD” Practice Location

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