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NPI Code Detail

MEDICARE: DR. GANDHARV TELHAN D.O.

MEDICARE:  DR. GANDHARV  TELHAN  D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician0102204355VA

General Provider Information

NPI Number : 1669819389
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GANDHARV TELHAN D.O.
Provider Business Mailing Address
First Line : PO BOX 791775
Second Line :
City : BALTIMORE
State : MD
Zip : 21279-1775
Country : US
Telephone Number : 571-302-5000
Fax Number : 571-302-5001
Provider Business Practice Location Address
First Line : 10322 BRISTOW CENTER DR
Second Line :
City : BRISTOW
State : VA
Zip : 20136-2201
Country : US
Telephone Number : 571-284-4245
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2013
Last Update Date : 06/03/2026

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Directions to “ DR. GANDHARV TELHAN D.O.” Practice Location

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