Healthcare Provider Details

I. General information

NPI: 1275446593
Provider Name (Legal Business Name): BWN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2026
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 POST OFFICE RD STE 203
WALDORF MD
20602-3703
US

IV. Provider business mailing address

50 POST OFFICE RD STE 203
WALDORF MD
20602-3703
US

V. Phone/Fax

Practice location:
  • Phone: 540-296-4357
  • Fax: 240-222-3329
Mailing address:
  • Phone: 540-296-4357
  • Fax: 240-222-3329

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: RAJENDRA LOWTAN
Title or Position: PRESIDENT/FOUNDER
Credential: MD
Phone: 443-572-1262