Basic Information
| Provider Information | |||||||||
| NPI: | 1861792897 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ADVANCED ASTHMA ALLERGY AND SINUS CENTER P.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9450 MARLBORO PIKE | ||||||||
| Address2: | STE. 19 | ||||||||
| City: | UPPER MARLBORO | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207723687 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3015995401 | ||||||||
| FaxNumber: | 3015995403 | ||||||||
| Practice Location | |||||||||
| Address1: | 9450 MARLBORO PIKE | ||||||||
| Address2: | STE. 19 | ||||||||
| City: | UPPER MARLBORO | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207723687 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3015995401 | ||||||||
| FaxNumber: | 3015995403 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/25/2010 | ||||||||
| LastUpdateDate: | 03/30/2011 | ||||||||
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| AuthorizedOfficialLastName: | BHATTI | ||||||||
| AuthorizedOfficialFirstName: | NEENA | ||||||||
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| AuthorizedOfficialTitleorPosition: | PHYSICIAN | ||||||||
| AuthorizedOfficialTelephone: | 3015995401 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207K00000X | D0046292 | MD | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Allergy & Immunology |
No ID Information.