Provider Demographics
NPI:1154419141
Name:PUROHIT, BHUMI (MD)
Entity type:Individual
Prefix:DR
First Name:BHUMI
Middle Name:
Last Name:PUROHIT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:BHUMIBEN
Other - Middle Name:S
Other - Last Name:PUROHIT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:5075 PEACHTREE PKWY
Mailing Address - Street 2:SUITE 106
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-6506
Mailing Address - Country:US
Mailing Address - Phone:770-582-1300
Mailing Address - Fax:
Practice Address - Street 1:5075 PEACHTREE PKWY
Practice Address - Street 2:SUITE 106
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30092-6506
Practice Address - Country:US
Practice Address - Phone:770-582-1300
Practice Address - Fax:770-582-1317
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA58812207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA52205920OtherBLUE SHIELD
GA7825858OtherAETNA
GA08CBCSXMedicare PIN