Provider Demographics
NPI:1962766899
Name:PRECISION ORTHOPEDICS AND SPORTS MEDICINE
Entity type:Organization
Organization Name:PRECISION ORTHOPEDICS AND SPORTS MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RISHI
Authorized Official - Middle Name:
Authorized Official - Last Name:BHATNAGAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-524-3390
Mailing Address - Street 1:14201 PARK CENTER DR
Mailing Address - Street 2:SUITE 410
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-5217
Mailing Address - Country:US
Mailing Address - Phone:301-524-3390
Mailing Address - Fax:
Practice Address - Street 1:14201 PARK CENTER DR
Practice Address - Street 2:SUITE 410
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-5217
Practice Address - Country:US
Practice Address - Phone:301-524-3390
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-26
Last Update Date:2024-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD223J97JDMedicaid
DC243656OtherMEDICARE PROVIDER TRANSACTION ACCESS NUMBER