Individual
PUSPA RAJ BHATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 UPPER CHESAPEAKE DR, BEL AIR, MD 21014-4324
(443) 643-1500
Mailing address
520 UPPER CHESAPEAKE DR, BEL AIR, MD 21014-4339
(443) 643-3200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D90989
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16059
—
ND
Enumeration date
09/02/2009
Last updated
07/16/2021
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