Provider Demographics
NPI:1619576279
Name:RITU BHAMBHANI LLC
Entity Type:Organization
Organization Name:RITU BHAMBHANI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEDICAL DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:RITU
Authorized Official - Middle Name:T
Authorized Official - Last Name:BHAMBHANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-777-8971
Mailing Address - Street 1:100 WALTER WARD BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:MD
Mailing Address - Zip Code:21009-1286
Mailing Address - Country:US
Mailing Address - Phone:410-777-8971
Mailing Address - Fax:410-325-7246
Practice Address - Street 1:100 WALTER WARD BLVD STE 300
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:MD
Practice Address - Zip Code:21009-1286
Practice Address - Country:US
Practice Address - Phone:410-777-8971
Practice Address - Fax:410-325-7246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-23
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty