Provider Demographics
NPI:1275900409
Name:GADODIA, RUCHI
Entity Type:Individual
Prefix:
First Name:RUCHI
Middle Name:
Last Name:GADODIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 MASSACHUSETTS AVE NW
Mailing Address - Street 2:622
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-6200
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:450 MASSACHUSETTS AVE NW
Practice Address - Street 2:622
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-6200
Practice Address - Country:US
Practice Address - Phone:626-264-2470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-24
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC1003165218OtherKIPP DC