Provider Demographics
NPI:1427004415
Name:BHUKET, TAFT P (MD)
Entity type:Individual
Prefix:DR
First Name:TAFT
Middle Name:P
Last Name:BHUKET
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2999 REGENT ST
Mailing Address - Street 2:SUITE 425
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-2146
Mailing Address - Country:US
Mailing Address - Phone:510-548-6555
Mailing Address - Fax:510-548-0176
Practice Address - Street 1:2999 REGENT ST
Practice Address - Street 2:SUITE 425
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-2146
Practice Address - Country:US
Practice Address - Phone:510-548-6555
Practice Address - Fax:510-548-0176
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2008-04-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA94983207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A949831Medicare PIN