Healthcare Provider Details

I. General information

NPI: 1508009200
Provider Name (Legal Business Name): SHRUTHI BELLAPU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2009
Last Update Date: 01/23/2026
Certification Date: 01/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12126 HERITAGE PARK CIR
SILVER SPRING MD
20906-4554
US

IV. Provider business mailing address

12126 HERITAGE PARK CIR STE 330
SILVER SPRING MD
20906-4554
US

V. Phone/Fax

Practice location:
  • Phone: 301-460-6664
  • Fax: 877-919-2471
Mailing address:
  • Phone: 301-460-6664
  • Fax: 877-919-2471

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberMD037213
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: