MEDICARE: PRECISION ORTHOPEDICS AND SPORTS MEDICINE

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	207X00000X	Orthopaedic Surgery Physician
2	213E00000X	Podiatrist

General Provider Information

NPI Number	:	1669286076
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRECISION ORTHOPEDICS AND SPORTS MEDICINE

Provider Business Mailing Address
First Line	:	8115 MAPLE LAWN BLVD STE 220
Second Line	:
City	:	FULTON
State	:	MD
Zip	:	20759-2687
Country	:	US
Telephone Number	:	301-298-5334
Fax Number	:	240-362-9919

Provider Business Practice Location Address
First Line	:	1235 E MOUNT HARMONY RD
Second Line	:
City	:	OWINGS
State	:	MD
Zip	:	20736-8826
Country	:	US
Telephone Number	:	410-257-2242
Fax Number	:	443-646-6224

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RISHI BHATNAGAR
Credential	:	MD
Telephone Number	:	301-498-0383

Provider Enumeration Date	:	02/05/2025
Last Update Date	:	02/05/2025

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