NPIMap

Organization Active NPI

Mini Bhaskar MD LLC

  • Rheumatology Physician
  • Edgewater, MD
National Provider Identifier
1659654465
Registry record updated Mar 4, 2015
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Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
MINI BHASKAR MD LLC
Practice address
3168 Braverton St
330
Edgewater, MD 21037-2674
Phone
(410) 956-3090
Fax
(410) 956-3063
NPI assigned
Sep 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mini Bhaskar, MD
Title
Physician/Owner
Phone
(443) 481-6464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X MD Primary

Addresses

Primary practice location

3168 Braverton St
330
Edgewater, MD 21037-2674

Mailing address

PO Box 12333
Belfast, ME 04915-4014
Phone (443) 481-6480

National Provider Directory

National Provider Directory

Locations

3168 Braverton St
Ste 309
Edgewater, MD 21037

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1659654465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12333",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154014",
            "telephone_number": "443-481-6480",
            "fax_number": "443-481-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3168 BRAVERTON ST",
            "address_2": "330",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210372674",
            "telephone_number": "410-956-3090",
            "fax_number": "410-956-3063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINI BHASKAR MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-28",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "BHASKAR",
        "authorized_official_first_name": "MINI",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "443-481-6464",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.