Healthcare Provider Details
I. General information
NPI: 1619722923
Provider Name (Legal Business Name): PRECISION ORTHOPEDICS AND SPORTS MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/19/2024
Last Update Date: 04/19/2024
Certification Date: 04/19/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2021 K ST NW STE 615
WASHINGTON DC
20006-1066
US
IV. Provider business mailing address
PO BOX 3250
WINCHESTER VA
22604-2450
US
V. Phone/Fax
- Phone: 301-392-3330
- Fax: 301-932-3950
- Phone: 540-545-1055
- Fax: 540-678-9025
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207XX0005X |
| Taxonomy | Sports Medicine (Orthopaedic Surgery) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
RISHI
BHATNAGAR
Title or Position: CEO
Credential: MD
Phone: 301-498-0383