Provider Demographics
NPI:1083673495
Name:RAZDAN, BHARTI (MD)
Entity type:Individual
Prefix:DR
First Name:BHARTI
Middle Name:
Last Name:RAZDAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 W 7TH ST
Mailing Address - Street 2:NICU, FREDERICK MEMORIAL HOSPITAL
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-4506
Mailing Address - Country:US
Mailing Address - Phone:240-566-3582
Mailing Address - Fax:240-566-3061
Practice Address - Street 1:400 W 7TH ST
Practice Address - Street 2:NICU, FREDERICK MEMORIAL HOSPITAL
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-4506
Practice Address - Country:US
Practice Address - Phone:240-566-3582
Practice Address - Fax:240-566-3061
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD476202080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD590700400Medicaid
MD590700400Medicaid