Healthcare Provider Details

I. General information

NPI: 1649218587
Provider Name (Legal Business Name): REKHA ARUN GINDE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 10/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8118 GOOD LUCK RD
LANHAM MD
20706-3595
US

IV. Provider business mailing address

PO BOX 1020
GREENBELT MD
20768-1020
US

V. Phone/Fax

Practice location:
  • Phone: 301-552-8118
  • Fax:
Mailing address:
  • Phone: 301-498-2922
  • Fax: 301-498-3074

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberD0019188
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: