Provider Demographics
NPI:1699067520
Name:NEUPANE, SHRISTI (MD)
Entity type:Individual
Prefix:DR
First Name:SHRISTI
Middle Name:
Last Name:NEUPANE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2027 PULASKI HWY STE 207
Mailing Address - Street 2:
Mailing Address - City:HAVRE DE GRACE
Mailing Address - State:MD
Mailing Address - Zip Code:21078-2147
Mailing Address - Country:US
Mailing Address - Phone:443-843-6100
Mailing Address - Fax:443-843-6130
Practice Address - Street 1:2027 PULASKI HWY STE 207
Practice Address - Street 2:
Practice Address - City:HAVRE DE GRACE
Practice Address - State:MD
Practice Address - Zip Code:21078
Practice Address - Country:US
Practice Address - Phone:443-843-6100
Practice Address - Fax:443-843-6130
Is Sole Proprietor?:No
Enumeration Date:2011-05-11
Last Update Date:2018-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301104622207R00000X, 207RE0101X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program