Individual provider · NPI-1

Dr. Renuka Mattoo Bhan, MD

Internal Medicine · Wilmington, NC

NPI number1609079441
StatusActive
Last updated in NPPESDec 30, 2024

Details

NPI
1609079441
Entity type
Individual (NPI-1)
Name
Dr. Renuka Mattoo Bhan
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jun 8, 2007
Certification date
Dec 30, 2024
Last updated
Dec 30, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine2009-00002NCYes
207R00000X Internal Medicine0101283570VA

Practice location

1725 New Hanover Medical Park Dr
Wilmington, NC 28403-5345

Phone 910-662-9300 · Fax 910-662-2401

Mailing address

Po Box 936857
Atlanta, GA 31193-6857

Other practice locations

2131 S 17th St
Wilmington, NC 28401-7407

Phone 910-772-9202 · Fax 910-772-9452

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