Organization
BHAWNA BAHETHI, MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BHAWNA BAHETHI MD (ADMIN)
(410) 766-8911
Entity
Organization
Contact information
Practice address
1600 CRAIN HWY S, STE 501, GLEN BURNIE, MD 21061-5577
(410) 766-8911
(410) 766-8977
Mailing address
1600 CRAIN HWY S, STE 501, GLEN BURNIE, MD 21061-5577
(410) 766-8911
(410) 766-8977
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0051325
MD
Other
Enumeration date
09/24/2009
Last updated
04/06/2011
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