Provider Demographics
NPI:1811082548
Name:PUROHIT-SHETH, TEJASHRI S (MD)
Entity type:Individual
Prefix:DR
First Name:TEJASHRI
Middle Name:S
Last Name:PUROHIT-SHETH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:TEJASHRI
Other - Middle Name:S
Other - Last Name:PUROHIT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:19824 TANBARK WAY
Mailing Address - Street 2:
Mailing Address - City:BRINKLOW
Mailing Address - State:MD
Mailing Address - Zip Code:20862-9700
Mailing Address - Country:US
Mailing Address - Phone:301-774-8338
Mailing Address - Fax:301-774-8338
Practice Address - Street 1:8901 WISCONSIN AVENUE
Practice Address - Street 2:NNMC, BUILDING 9, ALLERGY/IMM. CLINIC
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-5600
Practice Address - Country:US
Practice Address - Phone:301-295-2510
Practice Address - Fax:301-319-8299
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101053658207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology