Provider Demographics
NPI:1104353325
Name:RANADIVE, KALPNA (DMD, MDS, FAGS, NMD)
Entity type:Individual
Prefix:DR
First Name:KALPNA
Middle Name:
Last Name:RANADIVE
Suffix:
Gender:F
Credentials:DMD, MDS, FAGS, NMD
Other - Prefix:DR
Other - First Name:KALPANA
Other - Middle Name:
Other - Last Name:MADHAVAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:10810 DARNESTOWN RD STE H2
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-2602
Mailing Address - Country:US
Mailing Address - Phone:301-738-1074
Mailing Address - Fax:
Practice Address - Street 1:10810 DARNESTOWN RD STE H2
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-2602
Practice Address - Country:US
Practice Address - Phone:301-738-1074
Practice Address - Fax:240-493-8022
Is Sole Proprietor?:No
Enumeration Date:2017-05-18
Last Update Date:2023-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174H00000X, 171400000X, 175F00000X
MD139831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No174H00000XOther Service ProvidersHealth Educator
No171400000XOther Service ProvidersHealth & Wellness Coach
No175F00000XOther Service ProvidersNaturopath