HomeNPI Verification

NPI Verification

National Provider Identifier: 1164581625

Promil Bhutani, MD

Individual Provider

Credentials

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (2)

Family Medicine

Code: 207Q00000X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

2101 ELM ST N

FARGO, ND 581022417

Phone: 701-335-4380

NPI Enumeration Date

December 8, 2006

NPI Number

1164581625

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry