Basic Information
| Provider Information | |||||||||
| NPI: | 1962631051 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BHUSAL | ||||||||
| FirstName: | SANTOSH | ||||||||
| MiddleName: | J. | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2 HOT METAL ST | ||||||||
| Address2: | QUANTUM ONE, SUITE 001 | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152032348 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4126473087 | ||||||||
| FaxNumber: | 4124325640 | ||||||||
| Practice Location | |||||||||
| Address1: | 580 S AIKEN AVE | ||||||||
| Address2: | SUITE 430 | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152321531 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4126822434 | ||||||||
| FaxNumber: | 4126821044 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/09/2009 | ||||||||
| LastUpdateDate: | 12/09/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 57-015946 | OH | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | MD446214 | PA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.