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NPI Code Detail

MEDICARE: SRISHTI LIPSA BHAGAT M.D.-PH.D.

MEDICARE: SRISHTI LIPSA BHAGAT M.D.-PH.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
12084N0400XNeurology Physician202101842NC

General Provider Information

NPI Number : 1891229449
Entity Type Code : Individual
Provider Name (Legal Business Name) : SRISHTI LIPSA BHAGAT M.D.-PH.D.
Provider Business Mailing Address
First Line : 5200 EASTERN AVE
Second Line : MASON F. LORD BUILDING CENTER TOWER 3RD FLOOR, ROOM 342
City : BALTIMORE
State : MD
Zip : 21224-2734
Country : US
Telephone Number : 410-550-3350
Fax Number :
Provider Business Practice Location Address
First Line : 1200 N ELM ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27401-1004
Country : US
Telephone Number : 336-832-2820
Fax Number : 336-832-2883
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2017
Last Update Date : 07/16/2021

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