Healthcare Provider Details

I. General information

NPI: 1407533060
Provider Name (Legal Business Name): RANJAN KHADKA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2023
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2850 N RIDGE RD
ELLICOTT CITY MD
21043-3464
US

IV. Provider business mailing address

1833 ROSLYNHILL TRL
ODENTON MD
21113-3131
US

V. Phone/Fax

Practice location:
  • Phone: 410-465-8119
  • Fax:
Mailing address:
  • Phone: 667-848-2214
  • Fax: 667-218-3832

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD0106909
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: