MEDICARE: DR. NEENA BHATTI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	D0046292	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	P00014305	OTHER	MD	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	68070001	OTHER	DC	BC/BS OF DC
2	388919	OTHER	MD	MAMSI HEALTH PLAN
3	4599345	OTHER	MD	CIGNA HEALTHCARE
4	499304	OTHER	MD	NCPPO
5	53282105	OTHER	MD	BC/BS OF MD

General Provider Information

NPI Number	:	1114923505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NEENA BHATTI M.D.

Provider Business Mailing Address
First Line	:	12101 OLD LINE CTR
Second Line	:
City	:	WALDORF
State	:	MD
Zip	:	20602-2552
Country	:	US
Telephone Number	:	301-843-2223
Fax Number	:

Provider Business Practice Location Address
First Line	:	9450 MARLBORO PIKE
Second Line	:	STE 19
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20772-2077
Country	:	US
Telephone Number	:	301-599-5401
Fax Number	:	301-599-5401

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	03/19/2019

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Directions to “ DR. NEENA BHATTI M.D.” Practice Location

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