Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | MD00042492 | WA |
NPI | 1184760555 |
---|---|
Provider Name | Dr. Niranjan Bhat |
First Address | Laurel, MD 20723-1873 |
Second Address | Baltimore, MD 21287-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 08/07/2007 |