Suresh, Tejas
Suresh, Tejas is an sole proprietor health care provider with primary practice located at 7901 Lake Manassas Dr , Gainesville VA 20155-3257. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Suresh, Tejas can be contacted via phone (703) 208-3155.Contact Information
Primary practice address
7901 Lake Manassas Dr
Gainesville VA 20155-3257
Phone: (703) 208-3155
Fax: (571) 222-2202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 0101272283 | Virginia |
Profile Details
| NPI number | 1679836365 |
|---|---|
| LBN Legal business name | Suresh, Tejas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 19th, 2012 |
| Last updated | Oct 24th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679836365 | NPPES |
| Virginia | Other | 2I4567 | MEDICARE PTAN |
| Virginia | Other | VAC899A | MEDICARE PTAN |
| Virginia | MEDICAID | 1679836365 | MEDICARE PTAN |
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