Healthcare Provider Details

I. General information

NPI: 1326911991
Provider Name (Legal Business Name): NISHA DHUNGANA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2025
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 ALABAMA AVE SE
WASHINGTON DC
20032-4542
US

IV. Provider business mailing address

2859 DENVER ST SE
WASHINGTON DC
20020-3042
US

V. Phone/Fax

Practice location:
  • Phone: 202-299-5100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberMTL600111729
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: