Provider Demographics
NPI:1962631051
Name:BHUSAL, SANTOSH J (MD)
Entity Type:Individual
Prefix:DR
First Name:SANTOSH
Middle Name:J
Last Name:BHUSAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2 HOT METAL ST
Mailing Address - Street 2:QUANTUM ONE, SUITE 001
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-2348
Mailing Address - Country:US
Mailing Address - Phone:412-647-3087
Mailing Address - Fax:412-432-5640
Practice Address - Street 1:580 S AIKEN AVE
Practice Address - Street 2:SUITE 430
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-1531
Practice Address - Country:US
Practice Address - Phone:412-682-2434
Practice Address - Fax:412-682-1044
Is Sole Proprietor?:No
Enumeration Date:2009-07-09
Last Update Date:2016-12-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH57-015946207R00000X
PAMD446214207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine