Provider Demographics
NPI:1851615280
Name:AGNIHOTRI, TRUPTI UMESH (RPH)
Entity Type:Individual
Prefix:
First Name:TRUPTI
Middle Name:UMESH
Last Name:AGNIHOTRI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14613 ANTIETAM CT
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20905-5928
Mailing Address - Country:US
Mailing Address - Phone:301-879-0575
Mailing Address - Fax:301-871-8557
Practice Address - Street 1:14014 CONNECTICUT AVE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-2922
Practice Address - Country:US
Practice Address - Phone:301-460-3402
Practice Address - Fax:301-871-8557
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-14
Last Update Date:2010-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD14788183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist