Organization
SUSHMA BHASIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSHMA BHASIN MD (DOCTOR)
(410) 768-0700
Entity
Organization
Contact information
Practice address
331 OAK MANOR DR STE 203, GLEN BURNIE, MD 21061-5555
(410) 768-0700
(410) 768-1143
Mailing address
331 OAK MANOR DR STE 203, GLEN BURNIE, MD 21061-5555
(410) 768-0700
(410) 768-1143
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083661219
—
MD
Enumeration date
04/05/2019
Last updated
06/11/2019
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