Healthcare Provider Details

I. General information

NPI: 1508670944
Provider Name (Legal Business Name): PRECISION ORTHOPEDICS AND SPORTS MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2025
Last Update Date: 02/05/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22335 EXPLORATION DR STE 1015
LEXINGTON PARK MD
20653-2016
US

IV. Provider business mailing address

8115 MAPLE LAWN BLVD
FULTON MD
20759-2681
US

V. Phone/Fax

Practice location:
  • Phone: 301-863-6601
  • Fax: 301-863-6602
Mailing address:
  • Phone: 301-298-5334
  • Fax: 240-362-9919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

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