Individual
DR. SAMIR BHASIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
331 OAK MANOR DR, SUITE 203, GLEN BURNIE, MD 21061-5548
(410) 768-0700
(410) 768-1143
Mailing address
331 OAK MANOR DR, SUITE 203, GLEN BURNIE, MD 21061-5548
(410) 768-0700
(410) 768-1143
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
148994
NC
208000000X
Pediatrics Physician
Primary
H72041
MD
Other
Enumeration date
04/29/2008
Last updated
08/05/2011
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