Provider Demographics
NPI:1154553089
Name:BHUTANI, HARPREET S (MD)
Entity type:Individual
Prefix:DR
First Name:HARPREET
Middle Name:S
Last Name:BHUTANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1201 SEVEN LOCKS RD STE 200A
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20854-2931
Mailing Address - Country:US
Mailing Address - Phone:301-907-3939
Mailing Address - Fax:301-656-3934
Practice Address - Street 1:7610 CARROLL AVE STE 270
Practice Address - Street 2:
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-6302
Practice Address - Country:US
Practice Address - Phone:301-270-4360
Practice Address - Fax:301-270-4319
Is Sole Proprietor?:No
Enumeration Date:2009-08-11
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0077449207RN0300X
VA0101257036207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1154553089OtherVIRGINIA HEALTH NETWORK
VA529351OtherANTHEM BC/BS
VA1154553089OtherCIGNA
VA1154553089OtherUNITED HEALTHCARE
NC1154553089Medicaid
VAPAROtherCORVEL
VA1154553089OtherVIRGINIA PREMIER HEALTH PLAN
VA1154553089OtherCOVENTRY NETWORK
VA1154553089OtherTRICARE/CHAMPUS
VA1154553089Medicaid
VA10141095OtherOPTIMA HEALTH
VA1154553089OtherMULTIPLAN
VA1154553089OtherAETNA
VAPAROtherUSA MANAGED CARE
VA1154553089OtherMULTIPLAN