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NPI Code Detail

MEDICARE: RUPREKHA BHUYAN MD

MEDICARE: RUPREKHA BHUYAN 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
12084P0800XPsychiatry PhysicianMA05060500NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669405833
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUPREKHA BHUYAN MD
Provider Business Mailing Address
First Line : PO BOX 1086
Second Line :
City : PLEASANTVILLE
State : NJ
Zip : 08232-6086
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6010 BLACK HORSE PIKE
Second Line :
City : EGG HARBOR TOWNSHIP
State : NJ
Zip : 08234-9752
Country : US
Telephone Number : 609-646-5142
Fax Number : 609-646-8715
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2006
Last Update Date : 03/21/2008

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