Provider Demographics
NPI:1851678031
Name:PUROHIT, NISHA P (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NISHA
Middle Name:P
Last Name:PUROHIT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4201 CEDAR TREE LN
Mailing Address - Street 2:
Mailing Address - City:BURTONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20866-1368
Mailing Address - Country:US
Mailing Address - Phone:301-549-3052
Mailing Address - Fax:
Practice Address - Street 1:3343 CORRIDOR MARKETPLACE
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20724-2378
Practice Address - Country:US
Practice Address - Phone:301-483-0934
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-15
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD19347183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist