Healthcare Provider Details

I. General information

NPI: 1962766899
Provider Name (Legal Business Name): PRECISION ORTHOPEDICS AND SPORTS MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2012
Last Update Date: 07/07/2024
Certification Date: 07/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14201 PARK CENTER DR SUITE 410
LAUREL MD
20707-5217
US

IV. Provider business mailing address

14201 PARK CENTER DR SUITE 410
LAUREL MD
20707-5217
US

V. Phone/Fax

Practice location:
  • Phone: 301-524-3390
  • Fax:
Mailing address:
  • Phone: 301-524-3390
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RISHI BHATNAGAR
Title or Position: OWNER
Credential: MD
Phone: 301-524-3390