Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | D47620 | MD |
NPI | 1083673495 |
---|---|
Provider Name | Dr. Bharti Razdan |
First Address | Frederick, MD 21701-4506 |
Second Address | Frederick, MD 21701-4506 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2006 |
Last Update Date | 25/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
590700400 | (05) | MD |
F36440 | (02) | MD |