Individual
SUSHMA BHASIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
331 OAK MANOR DR, GLEN BURNIE, MD 21061-5508
(410) 768-0700
(410) 768-1143
Mailing address
6625 CORINA CT, COLUMBIA, MD 21044-4037
(410) 531-6301
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
D21268
MD
Other
Enumeration date
05/31/2006
Last updated
07/08/2007
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