Provider Demographics
NPI:1447256359
Name:UTAMSINGH, DUSHYANT J (MD)
Entity type:Individual
Prefix:
First Name:DUSHYANT
Middle Name:J
Last Name:UTAMSINGH
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:ASSOCIATED FAMILY PHYSICIANS OF BOCA RATON, P.L.
Mailing Address - Street 2:9910 SANDALFOOT BLVD., SUITE 1
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-6692
Mailing Address - Country:US
Mailing Address - Phone:561-883-3030
Mailing Address - Fax:561-852-7611
Practice Address - Street 1:ASSOCIATED FAMILY PHYSICIANS OF BOCA RATON, P.L.
Practice Address - Street 2:9910 SANDALFOOT BLVD., SUITE 1
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-6692
Practice Address - Country:US
Practice Address - Phone:561-883-3030
Practice Address - Fax:561-852-7611
Is Sole Proprietor?:No
Enumeration Date:2005-06-24
Last Update Date:2014-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0070865207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G25765Medicare UPIN
FL32223BMedicare PIN