MEDICARE: MS. KSHANILA GANDHI PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	21633	MD

General Provider Information

NPI Number	:	1689889693
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KSHANILA GANDHI PT

Provider Business Mailing Address
First Line	:	3510 RAYMOOR RD
Second Line	:
City	:	KENSINGTON
State	:	MD
Zip	:	20895-3126
Country	:	US
Telephone Number	:	301-685-3557
Fax Number	:

Provider Business Practice Location Address
First Line	:	9020 OLD GEORGETOWN RD
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20814-1514
Country	:	US
Telephone Number	:	301-660-3209
Fax Number	:	646-219-2840

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2007
Last Update Date	:	06/27/2013

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