Active NPI
Krishna Gandotra, M.D.
- Adolescent Medicine (Internal Medicine) Physician
- Washington, DC
National Provider Identifier
1356455190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent Medicine (Internal Medicine) Physician
- License
- D43702
- Practice address
- Walter Reed Army Medical Ctr
6900 Georgia Ave., NW
Washington, DC 20307-0001 - Phone
- (202) 685-3100
- Fax
- (202) 685-2766
- NPI assigned
- Aug 18, 2006
- 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 |
|---|---|---|---|---|
| Adolescent Medicine (Internal Medicine) Physician | 207RA0000X | D43702 | MD | Primary |
Addresses
Primary practice location
Walter Reed Army Medical Ctr
6900 Georgia Ave., NW
Washington, DC 20307-0001
Mailing address
303 Concert Way
Baltimore, MD 21228-5565
Phone (202) 685-3100
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D43702 | MD | MD | Adolescent Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356455190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 CONCERT WAY",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212285565",
"telephone_number": "202-685-3100",
"fax_number": "202-685-2766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WALTER REED ARMY MEDICAL CTR",
"address_2": "6900 GEORGIA AVE., NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "203070001",
"telephone_number": "202-685-3100",
"fax_number": "202-685-2766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANDOTRA",
"first_name": "KRISHNA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Adolescent Medicine",
"state": "MD",
"license": "D43702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.