Healthcare Provider Details

I. General information

NPI: 1285252015
Provider Name (Legal Business Name): NEHA SHRESTHA PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2020
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

134 HOLIDAY CT STE 312
ANNAPOLIS MD
21401-7008
US

IV. Provider business mailing address

7806 SOMERSET CT
GREENBELT MD
20770-3022
US

V. Phone/Fax

Practice location:
  • Phone: 410-571-3583
  • Fax: 443-949-9221
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberC08383
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberC08383
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: