Provider Demographics
NPI:1750120077
Name:SHRESTHA, ANISHA (MBBS)
Entity type:Individual
Prefix:MRS
First Name:ANISHA
Middle Name:
Last Name:SHRESTHA
Suffix:
Gender:
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MEDSTAR UNION MEMORIAL HOSPITAL
Mailing Address - Street 2:201 E. UNIVERSITY PKWY. 33RD ST. BLDG. SUITE 405
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218
Mailing Address - Country:US
Mailing Address - Phone:443-762-3924
Mailing Address - Fax:410-554-2184
Practice Address - Street 1:201 E. UNIVERSITY PKWY. 33RD ST. BLDG. SUITE 405
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218
Practice Address - Country:US
Practice Address - Phone:410-554-2642
Practice Address - Fax:410-554-2184
Is Sole Proprietor?:No
Enumeration Date:2024-05-24
Last Update Date:2025-02-24
Deactivation Date:2025-01-14
Deactivation Code:
Reactivation Date:2025-02-24
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program