Provider Demographics
NPI:1538031224
Name:LAKHVINDER WADHWA MD LLC
Entity type:Organization
Organization Name:LAKHVINDER WADHWA MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:LAKHVINDER
Authorized Official - Middle Name:
Authorized Official - Last Name:WADHWA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-631-9098
Mailing Address - Street 1:12800 MIDDLEBROOK RD STE 205
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-5294
Mailing Address - Country:US
Mailing Address - Phone:202-631-9098
Mailing Address - Fax:240-801-8864
Practice Address - Street 1:18562 OFFICE PARK DR
Practice Address - Street 2:
Practice Address - City:MONTGOMERY VILLAGE
Practice Address - State:MD
Practice Address - Zip Code:20886-0587
Practice Address - Country:US
Practice Address - Phone:301-358-2030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LAKHVINDER WADHWA MD LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RA0000XAllopathic & Osteopathic PhysiciansInternal MedicineAdolescent MedicineGroup - Single Specialty