Individual
JESSICA GANDHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5550 FRIENDSHIP BLVD STE T90, CHEVY CHASE, MD 20815-7313
(240) 737-0080
Mailing address
10770 COLUMBIA PIKE STE 400, SILVER SPRING, MD 20901-4462
(240) 485-5210
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0007819
MD
363A00000X
Physician Assistant
PA6749
MA
363AM0700X
Medical Physician Assistant
0110-004568
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110-004568
COMMONWEALTH OF VIRGINIA
VA
Enumeration date
04/29/2014
Last updated
08/26/2021
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