Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | D0071600 | MD |
NPI | 1013005685 |
---|---|
Provider Name | Dr. Tejaswi Rajasekhara Sastry |
First Address | Columbia, MD 21044-3128 |
Second Address | Columbia, MD 21044-3128 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2006 |
Last Update Date | 27/12/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
441122600 | (05) | MD |