Provider Demographics
NPI:1467543744
Name:PUROHIT, NIKUNJ J (MD)
Entity Type:Individual
Prefix:DR
First Name:NIKUNJ
Middle Name:J
Last Name:PUROHIT
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:9114 PHILADELPHIA RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-4345
Mailing Address - Country:US
Mailing Address - Phone:410-918-0777
Mailing Address - Fax:410-369-1707
Practice Address - Street 1:9114 PHILADELPHIA RD
Practice Address - Street 2:SUITE 108
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237-4345
Practice Address - Country:US
Practice Address - Phone:410-918-0777
Practice Address - Fax:410-369-1707
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD61515208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDKJ15GB/642622-01OtherCAREFIRST MARYLAND
MDS138/0073OtherCAREFIRST REGIONAL
MD002047800Medicaid
I16892Medicare UPIN
MD725LJ238Medicare PIN