Thanga G Bosemani
Thanga G Bosemani is a Nurse Practitioner in Rosedale, Maryland. Qualified in 2021, 5 years ago. Practices with Optimize Medical Group, a 29-clinician group and accepts Medicare assignment. Licensed in Maryland.
- Years since qualifying
- 5
- Licensed in
- MD
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
1232 Race Rd Ste 403Rosedale, MD 21237-2386
Phone: (443) 868-7101
Fax: (443) 732-0054
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence R207565 (MD) |
|---|---|
| Adult Medicine Physician | Taxonomy 207QA0505X · Licence R207565 (MD) |
Record details
| NPI number | 1841871126 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 18, 2021 |
| Last updated in NPPES | September 13, 2021 |
| Certification date | September 13, 2021 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Optimize Medical Group — 29 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |