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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

VARDHAN K MUDIGONDA, DPT

Active

VARDHAN K MUDIGONDA, DPT is a Physical Therapy Assistant healthcare provider located in GERMANTOWN, Maryland. NPI 1053616821 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · GERMANTOWN, MD

Registration Details

NPI Number
1053616821
Provider Type
Individual
Gender
Male
NPI Issued
Jan 25, 2011 (15.555201209157 yrs)
Last Updated
Apr 28, 2025
Licenses
30337 (MD)
070.016507 (IL)

Practice Information

Address
19785 CRYSTAL ROCK DR STE 311
GERMANTOWN, MD, 208744732
Browse MD providers · Browse ZIP 20874
Phone
3015403529
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in GERMANTOWN, MD

Name Credential NPI
MR. ERIC K BERQUIST PT 1376559419
JAY R SHEPHERD PT 1275622011
JOHN MICHAEL KITCHEN PT 1023190758
SEEMA MOHABAT PT 1902969637
ANA SOTO EMMET PT 1710040449
SHANNON MURPHY PT 1891858528
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.