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Individual

DR. ERVIND SRIRAM BHOGTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
110 HOSPITAL RD STE 210, PRINCE FREDERICK, MD 20678-4040
(410) 414-9017
(443) 771-8113
Mailing address
100 HOSPITAL RD, PRINCE FREDERICK, MD 20678-4017
(410) 414-4791
(410) 535-8417

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D0073682
MD
208600000X
Surgery Physician
MD038703
DC
2086S0102X
Surgical Critical Care Physician
D0073682
MD
2086S0102X
Surgical Critical Care Physician
MD038703
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
421294100
MD
Enumeration date
05/20/2008
Last updated
01/16/2024
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