Healthcare Provider Details

I. General information

NPI: 1659113934
Provider Name (Legal Business Name): PRECISION ORTHOPEDICS AND SPORTS MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2024
Last Update Date: 06/10/2024
Certification Date: 06/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 N LA PLATA CT STE 203
LA PLATA MD
20646-5208
US

IV. Provider business mailing address

PO BOX 3250
WINCHESTER VA
22604-2450
US

V. Phone/Fax

Practice location:
  • Phone: 240-307-4700
  • Fax: 240-343-1441
Mailing address:
  • Phone: 540-545-1055
  • Fax: 540-678-9025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RISHI BHATNAGAR
Title or Position: PRESIDENT
Credential: MD
Phone: 301-498-0383