Provider Demographics
NPI:1124545124
Name:KHADKA, ANJITA K (PT)
Entity Type:Individual
Prefix:
First Name:ANJITA
Middle Name:K
Last Name:KHADKA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:ANJITA
Other - Middle Name:K
Other - Last Name:NIROLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:12850 MIDDLEBROOK RD STE 307
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-5244
Mailing Address - Country:US
Mailing Address - Phone:301-972-4752
Mailing Address - Fax:301-972-4836
Practice Address - Street 1:12850 MIDDLEBROOK RD STE 307
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-5244
Practice Address - Country:US
Practice Address - Phone:301-972-4752
Practice Address - Fax:301-972-4836
Is Sole Proprietor?:No
Enumeration Date:2017-08-29
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD26602225100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist