Provider Demographics
NPI:1447063672
Name:BHUVA, ROSHANIBEN
Entity type:Individual
Prefix:
First Name:ROSHANIBEN
Middle Name:
Last Name:BHUVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3457 82ND ST # 1F1G
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-2939
Mailing Address - Country:US
Mailing Address - Phone:718-540-4740
Mailing Address - Fax:
Practice Address - Street 1:3457 82ND ST # 1F1G
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-2939
Practice Address - Country:US
Practice Address - Phone:718-540-4740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP133635225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist