Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | D0062045 | MD |
N | 2081P2900X | Pain Medicine | D0062045 | MD |
N | 2081S0010X | Sports Medicine | D0062045 | MD |
N | 213ES0000X | Sports Medicine | D0062045 | MD |
NPI | 1376580530 |
---|---|
Provider Name | Dr. Amit Bhargava |
First Address | Owings Mills, MD 21117-5481 |
Second Address | Owings Mills, MD 21117-5481 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2006 |
Last Update Date | 26/03/2015 |