Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 25MA10156900 | NJ |
N | 207X00000X | Orthopaedic Surgeon | 324217 | LA |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 25MA10156900 | NJ |
N | 207XS0117X | Orthopaedic Spine Surgeon | 324217 | LA |
NPI | 1396016705 |
---|---|
Provider Name | Dr. Amit Ketan Bhandutia |
First Address | New Orleans, LA 70112 |
Second Address | New Orleans, LA 70112-3018 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2012 |
Last Update Date | 09/06/2021 |