Provider Demographics
NPI:1922655877
Name:PANDEY, RANJANA
Entity Type:Individual
Prefix:
First Name:RANJANA
Middle Name:
Last Name:PANDEY
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 1:1500 MASSACHUSETTS AVE NW APT 748
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005-1841
Mailing Address - Country:US
Mailing Address - Phone:202-340-7550
Mailing Address - Fax:
Practice Address - Street 1:3701 CONNECTICUT AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-4556
Practice Address - Country:US
Practice Address - Phone:202-686-8202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-23
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDCNA20193478174H00000X, 376K00000X, 3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No174H00000XOther Service ProvidersHealth Educator
No376K00000XNursing Service Related ProvidersNurse's Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDCNA20193478OtherMD BOARD OF NURSING
MDMT0133505OtherMD BOARD OF NURSING