Provider Demographics
NPI:1366270027
Name:KANSANGRA, RADHIKA (AUD)
Entity type:Individual
Prefix:
First Name:RADHIKA
Middle Name:
Last Name:KANSANGRA
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5454 WISCONSIN AVE STE 1610
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-6907
Mailing Address - Country:US
Mailing Address - Phone:240-235-0300
Mailing Address - Fax:
Practice Address - Street 1:5454 WISCONSIN AVE STE 1610
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-6907
Practice Address - Country:US
Practice Address - Phone:240-235-0300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-24
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01685231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist