Provider Demographics
NPI:1013005685
Name:SASTRY, TEJASWI RAJASEKHARA (MD)
Entity Type:Individual
Prefix:DR
First Name:TEJASWI
Middle Name:RAJASEKHARA
Last Name:SASTRY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:10710 CHARTER DR
Mailing Address - Street 2:SUITE G020
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-3128
Mailing Address - Country:US
Mailing Address - Phone:410-964-2212
Mailing Address - Fax:410-964-0380
Practice Address - Street 1:10710 CHARTER DR
Practice Address - Street 2:SUITE G020
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3128
Practice Address - Country:US
Practice Address - Phone:410-964-2212
Practice Address - Fax:410-964-0380
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2012-12-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0071600207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD441122600Medicaid
MD441122600Medicaid