Basic Information
Provider Information
NPI: 1518321199
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SHARMA
FirstName: VANDHNA
MiddleName: RANI
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1150 GAITHER RD
Address2:  
City: ROCKVILLE
State: MD
PostalCode: 208506676
CountryCode: US
TelephoneNumber: 2092448391
FaxNumber:  
Practice Location
Address1: 18101 PRINCE PHILIP DR
Address2:  
City: OLNEY
State: MD
PostalCode: 208321514
CountryCode: US
TelephoneNumber: 3017748882
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/08/2016
LastUpdateDate: 07/08/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/08/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RE0101XD0093321MDY Allopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism

No ID Information.


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