Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMIR BHANDUTIA, DO
Active Sole ProprietorSAMIR BHANDUTIA, DO is a Interventional Vascular Surgery healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1689025504 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1689025504
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2016 (10.155535890694 yrs)
- Last Updated
- Sep 17, 2025
- Licenses
-
25MB10735400 (NJ)OS020669 (PA)OS020669 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1200 W TABOR RD FL 4PHILADELPHIA, PA, 191413019Browse PA providers · Browse ZIP 19141
- Phone
- 2154563815
- Fax
- 2154566803
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Interventional Vascular Surgery
- Additional Specialty
- Pain Medicine (Anesthesiology)
Other Interventional Vascular Surgery Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| MR. M YASSER GOUDA | MD | 1831197946 |
| OBIOMA IRO-NWOKEUKWU | M.D.. | 1770556847 |
| MICHELLE D FRANCAVILLA | M.D. | 1831325455 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.