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Contact Information

TEJAS SURESH, MD
7901 LAKE MANASSAS DR
GAINESVILLE, VA20155-3257
 Phone: 703-208-3155
 Fax: 571-222-2202
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for TEJAS SURESH · (Male)

NPI # 1679836365
Status Active
Credentials MD
Entity Individual
Enumeration date 06/19/2012
Last updated 10/24/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0101272283
  • VA Medicaid 1679836365
  • DC Other VAC899A MEDICARE PTAN
  • VA Other 2I4567 MEDICARE PTAN
Hospital affiliation(s)
  • PRINCE WILLIAM HOSPITAL - (Acute Care)
    8700 SUDLEY RD
    MANASSAS, VA 20110
  • SENTARA POTOMAC HOSPITAL - (Acute Care)
    2300 OPITZ BOULEVARD
    WOODBRIDGE, VA 22191
  • THE FAUQUIER HOSPITAL INC - (Acute Care)
    500 HOSPITAL DRIVE
    WARRENTON, VA 20186
  • UNIVERSITY OF MARYLAND MEDICAL CENTER - (Acute Care)
    22 SOUTH GREENE STREET
    BALTIMORE, MD 21201
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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