Organization
MINI BHASKAR MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINI BHASKAR MD (PHYSICIAN/OWNER)
(443) 481-6464
Entity
Organization
Contact information
Practice address
3168 BRAVERTON ST, 330, EDGEWATER, MD 21037-2674
(410) 956-3090
(410) 956-3063
Mailing address
PO BOX 12333, BELFAST, ME 04915-4014
(443) 481-6480
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
MD
Other
Enumeration date
09/28/2011
Last updated
03/04/2015
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