Healthcare Provider Details

I. General information

NPI: 1467310466
Provider Name (Legal Business Name): MEERRALASKHMI GANDI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2026
Last Update Date: 01/10/2026
Certification Date: 01/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20060 COLTSFOOT TER APT 201
ASHBURN VA
20147-2347
US

IV. Provider business mailing address

1775 N SECTOR CT STE 200
WINCHESTER VA
22601-2859
US

V. Phone/Fax

Practice location:
  • Phone: 571-340-7782
  • Fax:
Mailing address:
  • Phone: 540-542-6208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: