Basic Information
| Provider Information | |||||||||
| NPI: | 1154682664 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BHUYAN | ||||||||
| FirstName: | NATASHA | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7150 E CAMELBACK RD | ||||||||
| Address2: | SUITE 105 | ||||||||
| City: | SCOTTSDALE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852511200 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6022184072 | ||||||||
| FaxNumber: | 6022184076 | ||||||||
| Practice Location | |||||||||
| Address1: | 7150 E CAMELBACK RD | ||||||||
| Address2: | SUITE 105 | ||||||||
| City: | SCOTTSDALE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852511200 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6022184072 | ||||||||
| FaxNumber: | 6022184076 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/31/2012 | ||||||||
| LastUpdateDate: | 08/12/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | R73436 | AZ | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.