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Tyler Logan Bhukan, MD
Student in an Organized Health Care Education/Training Program in Syracuse, New York
NPI 1154959674

Tyler Logan Bhukan is a Student in an Organized Health Care Education/Training Program based in Imperial, NY. Tyler Logan Bhukan practices in Syracuse, NY and has the professional credentials of MD. The NPI Number for Tyler Logan Bhukan is 1154959674 and holds a License No. (New York).

The current practice location address for Tyler Logan Bhukan is 750 E Adams St, Syracuse, NY and can be reached out via phone at 315-464-4505.

Location: 750 E Adams St, Syracuse, NY, 15126-1170
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154959674
Provider Name
Tyler Logan Bhukan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
750 E Adams St, Syracuse, NY, 15126-1170
Phone Number
315-464-4505
Fax Number
Provider Enumeration Date
03/30/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
750 E Adams St
City
Syracuse
State
New York
Zip
13210-1834
Phone Number
315-464-4505
Fax Number
person
Provider Business Mailing Address Details
Address
750 E Adams St
City
Syracuse
State
New York
Zip
13210-1834
Phone Number
315-464-4505
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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