Healthcare Provider Details

I. General information

NPI: 1184067647
Provider Name (Legal Business Name): THE GRADFORD GROUP (USA), INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2013
Last Update Date: 04/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 CONNECTICUT AVE NW SUITE 200
WASHINGTON DC
20036-2603
US

IV. Provider business mailing address

1250 CONNECTICUT AVE NW SUITE 200
WASHINGTON DC
20036-2603
US

V. Phone/Fax

Practice location:
  • Phone: 202-386-6789
  • Fax: 202-240-5221
Mailing address:
  • Phone: 202-386-6789
  • Fax: 202-240-5221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTOPHER KAINGO
Title or Position: PRESIDENT & FOUNDER
Credential: M.D
Phone: 202-386-6789