Healthcare Provider Details

I. General information

NPI: 1033913256
Provider Name (Legal Business Name): PRECISION ORTHOPEDICS AND SPORTS MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2025
Last Update Date: 04/04/2025
Certification Date: 04/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2296 OPITZ BLVD STE 520
WOODBRIDGE VA
22191-3348
US

IV. Provider business mailing address

8115 MAPLE LAWN BLVD STE 220
FULTON MD
20759-2687
US

V. Phone/Fax

Practice location:
  • Phone: 571-774-9120
  • Fax:
Mailing address:
  • Phone: 301-298-5334
  • Fax: 240-362-9919

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 Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number
License Number State

VIII. Authorized Official

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