Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 2014-01923 | NC |
NPI | 1013184571 |
---|---|
Provider Name | Manisha Bhutani |
First Address | Charlotte, NC 28219-9305 |
Second Address | Charlotte, NC 28204-2990 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2008 |
Last Update Date | 27/09/2021 |