Provider Demographics
NPI:1861578924
Name:BHUMI, SARAT A (MD)
Entity type:Individual
Prefix:
First Name:SARAT
Middle Name:A
Last Name:BHUMI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:SARAT
Other - Middle Name:
Other - Last Name:ARAYABHUMI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1575 HILLSIDE AVENUE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040
Mailing Address - Country:US
Mailing Address - Phone:516-352-1804
Mailing Address - Fax:516-352-1449
Practice Address - Street 1:1575 HILLSIDE AVENUE
Practice Address - Street 2:SUITE 103
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040
Practice Address - Country:US
Practice Address - Phone:516-352-1804
Practice Address - Fax:516-352-1449
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY185251207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01455930Medicaid
F70829Medicare UPIN
NY01455930Medicaid