Provider Demographics
NPI:1457832404
Name:BHIMANIYA, SUDHIR (MD, MBBS)
Entity Type:Individual
Prefix:DR
First Name:SUDHIR
Middle Name:
Last Name:BHIMANIYA
Suffix:
Gender:M
Credentials:MD, MBBS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:450 BROOKLINE AVE
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5450
Mailing Address - Country:US
Mailing Address - Phone:617-632-5500
Mailing Address - Fax:617-632-7533
Practice Address - Street 1:450 BROOKLINE AVE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5450
Practice Address - Country:US
Practice Address - Phone:617-632-5500
Practice Address - Fax:617-632-7533
Is Sole Proprietor?:No
Enumeration Date:2018-08-28
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA2925092085N0904X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear Radiology