National Provider Identifier
Shantikumar D. Bedmutha, MD
Shantikumar D. Bedmutha, MD is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician in E Amherst, NY and a listed phone number of (716) 636-5877.
Profile Overview
- NPI
- 1881659209
- Provider Type
- Individual
- Primary Specialty
- Diagnostic Radiology Physician
- Enumeration Date
- April 19, 2006
- Last Updated
- July 29, 2008
Practice Location
- 176 Halston Pkwy
- E Amherst, NY 14051-1890
Phone: (716) 636-5877
Specialties
- Diagnostic Radiology Physician (2085R0202X)
- Nuclear Medicine Physician (207U00000X)
Full Record
- NPI
- 1881659209
- Entity Type
- Individual
- Last Name
- Bedmutha
- First Name
- Shantikumar
- Middle Name
- D.
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 176 Halston Pkwy
- Mailing City
- E Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14051-1890
- Mailing Country
- US
- Mailing Phone
- (716) 636-5877
- Mailing Fax
- (716) 439-6264
- Practice Street Address
- 176 Halston Pkwy
- Practice City
- E Amherst
- Practice State
- NY
- Practice ZIP Code
- 14051-1890
- Practice Country
- US
- Practice Phone
- (716) 636-5877
- Practice Fax
- (716) 439-6264
- Enumeration Date
- April 19, 2006
- Last Updated
- July 29, 2008
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Diagnostic Radiology Physician (2085R0202X), Nuclear Medicine Physician (207U00000X)
- Other Identifiers
- 00011395901 (Univera), 01561462 (NY), 10136630 (Fidelis), 000525091012 (Blue Shield Of Western Ny), 145801FF (Preferred Care), 300097080 (Railroad Medicare), 000524500002 (Blue Shield Of Western Ny), 040426001647 (Fidelis), R1478521 (NY, Workers Compensation), 00026885902 (Univera), 00525091015 (Blue Shield Of Western Ny), 300081886 (Railroad Medicare), 000525091013 (Blue Shield Of Western Ny), 1609861 (Independent Health), P00003643 (Railroad Medicare), P00080950 (NY, Medicare Railroad)