Active NPI
Mrinal Vilas Gadhade, PT
- Specialist
- Germantown, MD
National Provider Identifier
1316595267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 27630
- Practice address
- 19785 Crystal Rock Dr Ste 309
Germantown, MD 20874-4732 - Phone
- (240) 724-6781
- Fax
- (888) 607-7117
- NPI assigned
- Sep 3, 2019
- Last updated
- Sep 3, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 27630 | MD | Primary |
Addresses
Primary practice location
19785 Crystal Rock Dr Ste 309
Germantown, MD 20874-4732
Mailing address
19785 Crystal Rock Dr Ste 309
Germantown, MD 20874-4732
Phone (240) 724-6781
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27630 | MD | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567468800000",
"number": "1316595267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19785 CRYSTAL ROCK DR STE 309",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208744732",
"telephone_number": "240-724-6781",
"fax_number": "888-607-7117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19785 CRYSTAL ROCK DR STE 309",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208744732",
"telephone_number": "240-724-6781",
"fax_number": "888-607-7117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GADHADE",
"first_name": "MRINAL",
"middle_name": "VILAS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-03",
"last_updated": "2019-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MD",
"license": "27630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Germantown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.