Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | A127498 | CA |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | DR.0058489 | CO |
Y | 207YP0228X | Pediatric Otolaryngology | 55773 | AZ |
N | 207YP0228X | Pediatric Otolaryngology | A127498 | CA |
N | 207YP0228X | Pediatric Otolaryngology | DR.0058489 | CO |
NPI | 1629332796 |
---|---|
Provider Name | Aditi Arvind Bhuskute |
First Address | Phoenix, AZ 85018-2327 |
Second Address | Phoenix, AZ 85006 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2012 |
Last Update Date | 12/07/2018 |