Individual ProviderTejasri ChandrabhatlaInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address3300 Gallows Rd, Falls Church, VA 22042-3300(703) 776-4001(571) 423-5699PECOS EnrollmentBased on the most recent information from CMS, provider Tejasri Chandrabhatla is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1104319607Provider TypeIndividualFull NameChandrabhatla, TejasriCredentialDOGenderFemaleSole ProprietorNoEnumeration Date6/8/2018Last Updated12/22/2022Contact InformationPractice LocationPractice Address3300 Gallows Rd, Falls Church, VA 22042-3300Phone(703) 776-4001Fax(703) 776-7113Mailing LocationMailing AddressPO Box 37174, Baltimore, MD 21297-3174Phone(571) 423-5699Fax(571) 423-5698Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense0102205903VirginiaCode208M00000XDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicense0102205903Virginia