Individual ProviderKalyani BhutaSurgeryAllopathic & Osteopathic PhysiciansPractice Address401 Columbus Ave Lowr Level, Valhalla, NY 10595-1326(914) 909-3953PECOS EnrollmentBased on the most recent information from CMS, provider Kalyani Bhuta is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:14 PM.Profile DetailsProvider ID1710987375Provider TypeIndividualFull NameBhuta, KalyaniCredentialMDGenderFemaleSole ProprietorNoEnumeration Date7/26/2005Last Updated9/17/2019Contact InformationPractice LocationPractice Address401 Columbus Ave Lowr Level, Valhalla, NY 10595-1326Phone(914) 909-3953FaxUnlisted FaxMailing LocationMailing AddressPO Box 219, Croton On Hudson, NY 10520-0219Phone(914) 909-3953FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208600000XPrimaryDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicense143798New YorkProvider IdentifiersIDDescriptionIssuerID00771311DescriptionMedicaidIssuerUnlistedNew York