Healthcare Provider Details

I. General information

NPI: 1720909013
Provider Name (Legal Business Name): DERMANI GADSDEN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2041 MARTIN LUTHER KING JR AVE SE
WASHINGTON DC
20020-7024
US

IV. Provider business mailing address

PO BOX 2208
WASHINGTON DC
20013-2208
US

V. Phone/Fax

Practice location:
  • Phone: 877-659-4500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: