Provider Demographics
NPI:1346383031
Name:PUROHIT, DARSHANA (MD)
Entity Type:Individual
Prefix:DR
First Name:DARSHANA
Middle Name:
Last Name:PUROHIT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 64131
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21264-4131
Mailing Address - Country:US
Mailing Address - Phone:410-571-7880
Mailing Address - Fax:410-571-0362
Practice Address - Street 1:108 FORBES ST
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-1502
Practice Address - Country:US
Practice Address - Phone:410-571-7880
Practice Address - Fax:410-571-0362
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDP18475207R00000X
MDD67699208M00000X, 207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD018132300Medicaid
93268002OtherCAREFIRST
MD018132300Medicaid
DC244508ZA84Medicare PIN
MD244507ZA38Medicare PIN