Provider Demographics
NPI:1902950702
Name:KITTUSAMY, BHUVANA M (MD)
Entity type:Individual
Prefix:DR
First Name:BHUVANA
Middle Name:M
Last Name:KITTUSAMY
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Gender:F
Credentials:MD
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Mailing Address - Street 1:401 N BUFFALO DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89145-0310
Mailing Address - Country:US
Mailing Address - Phone:702-254-5004
Mailing Address - Fax:702-685-0796
Practice Address - Street 1:7500 SMOKE RANCH RD
Practice Address - Street 2:SUITE 100
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0324
Practice Address - Country:US
Practice Address - Phone:702-254-5004
Practice Address - Fax:702-432-4005
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2024-02-01
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Provider Licenses
StateLicense IDTaxonomies
NV109262085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology