National Provider Identifier Database

MANJIT K RISAM, MD – NPI #1306830047
Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

Contact Information

MANJIT K RISAM, MD
3060 MITCHELLVILLE RD
210
BOWIE, MD  20716-1389
Phone: 301-249-4090
Fax: 301-390-1344
Website:
Specialty Taxonomy Code
* Gynecology 207VG0400X
Obstetrics & Gynecology 207V00000X

* Indicates primary specialty

NPI Profile & details for MANJIT K RISAM

NPI Number 1306830047
Credentials MD
Entity Individual
Enumeration date 09/08/2005
Last updated 11/29/2023 - About 3 years ago
Sole proprietor1 Yes
Identifiers
  • MD License #: D0032735
  • MD Medicaid: 405671000
  • Other: 4089037 AETNA PROVIDER #
  • Other: 04830 AMERIGROUP ID#
  • Other: 46565 MAMSI ID#
  • Other: 495982 NCPPO ID #
  • Other: 0700031 UNITEDHEALTHCARE ID #
  • DC Other: 56760001 CAREFIRST DC
  • MD Other: 521854007 ALL OTHER INS CO. ID #
  • MD Other: 41985902 CAREFIRST MD ID #
  • MD Other: 27866 JOHN HOPKINS EHP ID #
  • VA Other: 203249 HEALTHKEEPERS ID#
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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