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Shikha Mudgil

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

900 23rd St NW, Washington, DC 20037-2342

PECOS Enrollment

Based on the most recent information from CMS, provider Shikha Mudgil is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1144792441
Provider Type
Individual
Full Name
Mudgil, Shikha
Gender
Female

Sole Proprietor
No
Enumeration Date
12/26/2018
Last Updated
4/27/2023

Contact Information

Practice Location

900 23rd St NW, Washington, DC 20037-2342

(202) 715-4000

Unlisted Fax

Mailing Location

13031 Lee Jackson Hwy, Fairfax, VA 22033-2050

(703) 378-7550

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License RN1033223 District of Columbia
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 0024176695 Virginia

Shikha Mudgil

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Okoye, Nneka

Bates, Kelly W.

Lesnau, Alan

Nnadi, Samuel Nwani

Medical Faculty Associates

Aminrazavi, Marylynn

Johnstone, Denise

Noble, Meagan Catrice

Slonina, Erin Marie

Curtis, Amanda Colyer