Basic Information
| Provider Information | |||||||||
| NPI: | 1528261906 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BHATNAGAR | ||||||||
| FirstName: | RICHA | ||||||||
| MiddleName: | |||||||||
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| Credential: | MD | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | TEJAY | ||||||||
| OtherFirstName: | RICHA | ||||||||
| OtherMiddleName: | |||||||||
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| OtherCredential: | |||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 221 AMERICAN WAY | ||||||||
| Address2: | |||||||||
| City: | OXON HILL | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207451597 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3015679100 | ||||||||
| FaxNumber: | 2407125052 | ||||||||
| Practice Location | |||||||||
| Address1: | 221 AMERICAN WAY | ||||||||
| Address2: | |||||||||
| City: | OXON HILL | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207451597 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3015679100 | ||||||||
| FaxNumber: | 2407125052 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/06/2007 | ||||||||
| LastUpdateDate: | 07/14/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 0116018427 | VA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | D72820 | MD | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.