Individual
DR. VIMLA BHOOSHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11711 LIVINGSTON RD, FORT WASHINGTON, MD 20744-5151
(301) 203-2247
(301) 292-1172
Mailing address
9739 AVENEL FARM DR, POTOMAC, MD 20854-5413
(301) 203-2247
(301) 292-1172
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D0025261
MD
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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