Provider Demographics
NPI:1164970281
Name:GEHANI, SHALINI (MSN, APRN-CNP)
Entity Type:Individual
Prefix:MS
First Name:SHALINI
Middle Name:
Last Name:GEHANI
Suffix:
Gender:F
Credentials:MSN, APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13803 SPRINGSTONE DR
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:VA
Mailing Address - Zip Code:20124-2362
Mailing Address - Country:US
Mailing Address - Phone:703-675-2039
Mailing Address - Fax:
Practice Address - Street 1:1310 SOUTHERN AVENUE
Practice Address - Street 2:
Practice Address - City:WASHINGTON WASHINGTON, DC
Practice Address - State:DC
Practice Address - Zip Code:20032
Practice Address - Country:US
Practice Address - Phone:202-574-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-18
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024173999363LF0000X
DCRN1013671207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily