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:
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Health care specialties

SpecialtyCodeLicense #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 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679836365 NPPES
Virginia Other 2I4567 MEDICARE PTAN
Virginia Other VAC899A MEDICARE PTAN
Virginia MEDICAID 1679836365 MEDICARE PTAN

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