Gurjar, Madhura A
Gurjar, Madhura A is an sole proprietor health care provider with primary practice located at 2841 Hartland Rd Ste 403 , Falls Church VA 22043-3500. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Gurjar, Madhura A can be contacted via phone (703) 646-2250.Contact Information
Primary practice address
2841 Hartland Rd Ste 403
Falls Church VA 22043-3500
Phone: (703) 646-2250
Fax: (703) 991-5649
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT870994 | District of Columbia |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 551012801 | Michigan |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2305205819 | Virginia |
Profile Details
| NPI number | 1154379303 |
|---|---|
| LBN Legal business name | Gurjar, Madhura A |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 4th, 2006 |
| Last updated | Apr 17th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154379303 | NPPES |
| Virginia | MEDICAID | 30016439670001 | |
| Virginia | Other | 2307001242 |
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