Healthcare Provider Details

I. General information

NPI: 1750286753
Provider Name (Legal Business Name): EUGENE NANDI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

855 21ST ST NE
WASHINGTON DC
20002-4140
US

IV. Provider business mailing address

855 21ST ST NE
WASHINGTON DC
20002-4140
US

V. Phone/Fax

Practice location:
  • Phone: 202-925-1348
  • Fax:
Mailing address:
  • Phone: 202-925-1348
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHHA200007045
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: