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BHAWNA BAHETHI, MD LLC
NPI 1457685380
Internal Medicine in Glen Burnie, MD

Active since September 24, 2009CLIA 21D2006154 · Waiver
1600 CRAIN HWY S, STE 501, GLEN BURNIE, MD 21061(410) 766-8911(410) 766-8977 Get Directions Write a Review

NPPES record last updated: April 6, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bhawna Bahethi, Md Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BHAWNA BAHETHI, MD LLC (NPI 1457685380) is a healthcare organization registered as an internal medicine in Glen Burnie, Maryland and active in the NPI registry since September 2009. The organization holds a CLIA Waiver certificate valid through April 13, 2028 and lists Bhawna Bahethi, Admin, as its authorized official.

NPPES Registry Identity

NPI1457685380
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBHAWNA BAHETHI, MD LLC
Location Address1600 CRAIN HWY S, STE 501Glen Burnie, MD 21061-5577
Mailing Address1600 Crain Hwy S, Ste 501Glen Burnie, MD 21061-5577 · (410) 766-8911 · Fax (410) 766-8977
Phone(410) 766-8911
Fax(410) 766-8977
Organization SubpartNo
Authorized OfficialBhawna BahethiAdmin · (410) 766-8911
Enumeration DateSeptember 24, 2009
Last NPPES UpdateApril 6, 2011
✔ NPI 1457685380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · D0051325
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1600 CRAIN HWY S, Glen Burnie, MD 21061
Open in Google Maps ↗

Other Identifiers 1

Medicare UPING65863

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2006154

Bhawna Bahethi, MD, LLC · Glen Burnie, MD
Active · expires Apr 13, 2028
CLIA Number21D2006154
Laboratory TypePhysician Office
Certificate Effective DateApril 14, 2026
Certificate Expiration DateApril 13, 2028
Laboratory DirectorBhawna Bahethi
Laboratory Phone(410) 766-8911
Laboratory LocationBhawna Bahethi, MD, LLC1600 Crain Hwy S Suite 501, Glen Burnie, MD 21061
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STUART BRIAN SPIND O.D.
Optometrist
1600 CRAIN HWY S, SUITE 102
GLEN BURNIE, MD 21061
Anne Arundel County (410) 766-3200
ASC DEVELOPMENT COMPANY, LLC
Clinic/Center (Ambulatory Surgical)
1600 CRAIN HWY S, SUITE 301
GLEN BURNIE, MD 21061
Anne Arundel County (410) 787-8315
MRS. KELLY ANN RUNFOLA PT, MS
Physical Therapist (Orthopedic)
1600 CRAIN HWY S, SUITE 302
GLEN BURNIE, MD 21061
Anne Arundel County (410) 768-1213
LAUREN A TIMPSON P.A.-C.
Physician Assistant
1600 CRAIN HWY S, SUITE 301
GLEN BURNIE, MD 21061
Anne Arundel County (410) 787-8315
SURGICAL ASSIST SERVICES LLC
Physician Assistant (Surgical)
1600 CRAIN HWY S, STE 401
GLEN BURNIE, MD 21061
Anne Arundel County (410) 768-5050
MR. JOSHUA SANG HAN CRNP-F
Nurse Practitioner (Family)
1600 CRAIN HWY S, SUITE 310
GLEN BURNIE, MD 21061
Anne Arundel County (410) 787-8315
GINA GENNARIONE
Nurse Practitioner (Family)
1600 CRAIN HWY S
GLEN BURNIE, MD 21061
Anne Arundel County (410) 760-0098
DR. SYED SALMAN ASHRUF M.D.
Plastic Surgery
1600 CRAIN HWY S, SUITE 509
GLEN BURNIE, MD 21061
Anne Arundel County (410) 590-4313

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bhawna Bahethi, MD LLC's NPI number?

The NPI number for Bhawna Bahethi, MD LLC is 1457685380. It was assigned to this organization in the NPPES registry on September 24, 2009.

Where is Bhawna Bahethi, MD LLC located?

Bhawna Bahethi, MD LLC is located at 1600 Crain Hwy S Ste 501, Glen Burnie, MD 21061. The listed phone number is (410) 766-8911.

What is Bhawna Bahethi, MD LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Bhawna Bahethi, MD LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2006154) is associated with this NPI, valid through April 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bhawna Bahethi, MD LLC was last updated on April 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.