Provider Demographics
NPI:1588690788
Name:DUDHIA, BHUPENDRA VRAJLAL (MD)
Entity type:Individual
Prefix:DR
First Name:BHUPENDRA
Middle Name:VRAJLAL
Last Name:DUDHIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 26246
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10087-6246
Mailing Address - Country:US
Mailing Address - Phone:718-604-5574
Mailing Address - Fax:718-604-5527
Practice Address - Street 1:1110 EASTERN PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-4845
Practice Address - Country:US
Practice Address - Phone:718-735-1900
Practice Address - Fax:718-735-4531
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-23
Last Update Date:2012-01-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY138941207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB18878Medicare UPIN