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Individual

DR. RITU T BHAMBHANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
100 WALTER WARD BLVD, SUITE 300, ABINGDON, MD 21009-1284
(410) 777-8971
(877) 595-7180
Mailing address
100 WALTER WARD BLVD, SUITE 300, ABINGDON, MD 21009-1284
(410) 569-3333
(877) 595-7180

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
D0056138
MD
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
D0056138
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1085058
CAQH
MD
01
129157ZAAE
MEDICARE PTAN
MD
01
129157ZC55
MEDICARE PTAN
MD
05
132702000
MD
01
600852
CAREFIRST
MD
Enumeration date
11/22/2005
Last updated
11/29/2022
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