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
1	207RI0011X	Interventional Cardiology Physician	220934	NY

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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Directions to “ BHUPESH DHAMA M.D.” Practice Location

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