Healthcare Provider Details

I. General information

NPI: 1336957281
Provider Name (Legal Business Name): PRECISION ORTHOPEDICS AND SPORTS MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/24/2024
Last Update Date: 12/24/2024
Certification Date: 12/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6196 OXON HILL RD STE 200
OXON HILL MD
20745-3137
US

IV. Provider business mailing address

PO BOX 3250
WINCHESTER VA
22604-2450
US

V. Phone/Fax

Practice location:
  • Phone: 301-567-9100
  • Fax: 240-510-1294
Mailing address:
  • Phone: 540-545-1055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State
# 3
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