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Contact Information

MANJIT K RISAM, MD
3060 MITCHELLVILLE RD
210
BOWIE, MD20716-1389
 Phone: 301-249-4090
 Fax: 301-390-1344
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for MANJIT K RISAM · (Female)

NPI # 1306830047
Status Active
Credentials MD
Entity Individual
Enumeration date 09/08/2005
Last updated 11/29/2023 - About 3 years ago
Sole proprietor 1 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(s) Not Available
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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