MEDICARE: ADVANCED ASTHMA ALLERGY AND SINUS CENTER P.C.

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	207K00000X	Allergy & Immunology Physician	D0046292	MD

General Provider Information

NPI Number	:	1861792897
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED ASTHMA ALLERGY AND SINUS CENTER P.C.

Provider Business Mailing Address
First Line	:	9450 MARLBORO PIKE
Second Line	:	STE. 19
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20772-3687
Country	:	US
Telephone Number	:	301-599-5401
Fax Number	:	301-599-5403

Provider Business Practice Location Address
First Line	:	9450 MARLBORO PIKE
Second Line	:	STE. 19
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20772-3687
Country	:	US
Telephone Number	:	301-599-5401
Fax Number	:	301-599-5403

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	NEENA BHATTI
Credential	:	M.D.
Telephone Number	:	301-599-5401

Provider Enumeration Date	:	10/25/2010
Last Update Date	:	03/30/2011

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