Healthcare Provider Details

I. General information

NPI: 1992062681
Provider Name (Legal Business Name): NEHA BHOOSHAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2012
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9905 MEDICAL CENTER DR STE 100
ROCKVILLE MD
20850-6534
US

IV. Provider business mailing address

11720 BELTSVILLE DR STE 300
BELTSVILLE MD
20705-3119
US

V. Phone/Fax

Practice location:
  • Phone: 301-424-6231
  • Fax: 301-294-4648
Mailing address:
  • Phone: 240-223-1893
  • Fax: 301-326-2926

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberMD461856
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberP29570
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: