Bedmutha, Shantikumar D.

Bedmutha, Shantikumar D. is an sole proprietor health care provider with primary practice located at 176 Halston Pkwy , E Amherst NY 14051-1890. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Bedmutha, Shantikumar D. can be contacted via phone (716) 636-5877.

Contact Information

Primary practice address
176 Halston Pkwy E Amherst NY 14051-1890
Phone: (716) 636-5877
Fax: (716) 439-6264
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 147852-1 New York
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 147852-1 New York

Profile Details

NPI number 1881659209
LBN Legal business name Bedmutha, Shantikumar D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2006
Last updated Jul 29th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881659209 NPPES
Other 00011395901 UNIVERA
MEDICAID 01561462 UNIVERA
Other 10136630 UNIVERA
Other 000525091012 UNIVERA
Other 145801FF UNIVERA
Other 300097080 UNIVERA
Other 000524500002 UNIVERA
Other 040426001647 UNIVERA
Other R1478521 UNIVERA
Other 00026885902 UNIVERA
Other 00525091015 UNIVERA
Other 300081886 UNIVERA
Other 000525091013 UNIVERA
Other 1609861 UNIVERA
Other P00003643 UNIVERA
Other P00080950 UNIVERA

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