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NPI Code Detail

MEDICARE: BHUPESH DHAMA M.D.

MEDICARE: BHUPESH DHAMA M.D.
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
1207RI0011XInterventional Cardiology Physician220934NY

General Provider Information

NPI Number : 1447276340
Entity Type Code : Individual
Provider Name (Legal Business Name) : BHUPESH DHAMA M.D.
Provider Business Mailing Address
First Line : 2001 MARCUS AVE
Second Line : SUITE E-249
City : NEW HYDE PARK
State : NY
Zip : 11042-1011
Country : US
Telephone Number : 516-437-5600
Fax Number : 516-437-7428
Provider Business Practice Location Address
First Line : 2001 MARCUS AVE
Second Line : SUITE E-249
City : NEW HYDE PARK
State : NY
Zip : 11042-1011
Country : US
Telephone Number : 516-437-5600
Fax Number : 516-437-7428
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 01/05/2015

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