Individual
RANI KASINCHETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8118 GOOD LUCK RD, LANHAM, MD 20706
(301) 552-8118
Mailing address
8118 GOOD LUCK RD, LANHAM, MD 20706-3574
(301) 552-8118
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0087039
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811381239
—
IL
Enumeration date
03/24/2015
Last updated
03/20/2019
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