Provider Demographics
NPI:1821148941
Name:BHUVA, RAJIV H (MD)
Entity Type:Individual
Prefix:DR
First Name:RAJIV
Middle Name:H
Last Name:BHUVA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:677 E TANGERINE ST
Mailing Address - Street 2:
Mailing Address - City:AZUSA
Mailing Address - State:CA
Mailing Address - Zip Code:91702-6868
Mailing Address - Country:US
Mailing Address - Phone:626-230-9929
Mailing Address - Fax:
Practice Address - Street 1:677 E TANGERINE ST
Practice Address - Street 2:
Practice Address - City:AZUSA
Practice Address - State:CA
Practice Address - Zip Code:91702-6868
Practice Address - Country:US
Practice Address - Phone:626-230-9929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA73890207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA73890OtherMED LICENSE
CAA73890OtherMED LICENSE