Provider Demographics
NPI:1740480771
Name:RANADE, PRACHI CHANDRASHEKHAR (MD)
Entity type:Individual
Prefix:
First Name:PRACHI
Middle Name:CHANDRASHEKHAR
Last Name:RANADE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:444 W BROAD ST UNIT 425
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-3349
Mailing Address - Country:US
Mailing Address - Phone:312-636-9023
Mailing Address - Fax:
Practice Address - Street 1:444 W BROAD ST UNIT 425
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-3349
Practice Address - Country:US
Practice Address - Phone:312-636-9023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-18
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101247216207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease