Provider Demographics
NPI:1396837969
Name:DORAI, BHUVANESWARI (MD)
Entity Type:Individual
Prefix:DR
First Name:BHUVANESWARI
Middle Name:
Last Name:DORAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92 E ALLISON AVE
Mailing Address - Street 2:
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954-3415
Mailing Address - Country:US
Mailing Address - Phone:845-558-8127
Mailing Address - Fax:614-442-2410
Practice Address - Street 1:160 N MIDLAND AVE FL 1
Practice Address - Street 2:NYACK HOSPITAL PATHOLOGY DEPT.
Practice Address - City:NYACK
Practice Address - State:NY
Practice Address - Zip Code:10960-1912
Practice Address - Country:US
Practice Address - Phone:845-348-2270
Practice Address - Fax:845-348-8430
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2017-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07702000207ZP0102X
NY1903291207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01590523Medicaid
G12663Medicare UPIN
NJ094222Medicare ID - Type Unspecified
NY01590523Medicaid