MEDICARE: MADHU BHATIA MD PC

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1740507672
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MADHU BHATIA MD PC

Provider Business Mailing Address
First Line	:	6 PIDGEON HILL DR STE 260
Second Line	:
City	:	STERLING
State	:	VA
Zip	:	20165-6147
Country	:	US
Telephone Number	:	301-565-2250
Fax Number	:

Provider Business Practice Location Address
First Line	:	6 PIDGEON HILL DR STE 260
Second Line	:
City	:	STERLING
State	:	VA
Zip	:	20165-6147
Country	:	US
Telephone Number	:	301-565-2250
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	CHRIS KIRBY
Credential	:
Telephone Number	:	301-565-2250

Provider Enumeration Date	:	05/03/2010
Last Update Date	:	05/03/2010

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Directions to “MADHU BHATIA MD PC ” Practice Location

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