Prakash Bhuyan, MD, PHD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

MD418115 Issued in PA

Practice address

3900 Woodland Ave
University and Woodland Avenues
Philadelphia, PA 19104

Phone

(215) 823-5800

NPI assigned

Sep 29, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558453183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 JACKSON DR",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "194441639",
            "telephone_number": "215-836-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 WOODLAND AVE",
            "address_2": "UNIVERSITY AND WOODLAND AVENUES",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "215-823-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHUYAN",
        "first_name": "PRAKASH",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "MD418115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "MD418115",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kira Bhuta
• Rajiv Vijay Bhuta, M.D.
• Kaira Bhutada
• Ruchi Bhutani, M.D.
• Suchit K Bhutani, M.D.
• Ran Bi
• Stephanie Bi
• Xiaoting Bi
• Jingyuan Biaesch, DO
• Michelle Maglaya Biala, MSN, CRNP, AGACNP-BC

• Infectious Disease Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Infectious Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.