Individual
DR. TEJASWI RAJASEKHARA SASTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10710 CHARTER DR, SUITE G020, COLUMBIA, MD 21044-3128
(410) 964-2212
(410) 964-0380
Mailing address
10710 CHARTER DR, SUITE G020, COLUMBIA, MD 21044-3128
(410) 964-2212
(410) 964-0380
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
D0071600
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
441122600
—
MD
Enumeration date
10/10/2006
Last updated
12/27/2012
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