PREMA GANGANNA (RDN) – Registered Dietitian, NPI 1235609397

PREMA GANGANNA (RDN) is a healthcare provider. based in Rockville, Maryland. specializing in Registered Dietitian. They hold the professional credentials RDN. They hold a License No. D1451 (DC). The NPI Number for PREMA GANGANNA (RDN) is 1235609397

Main info

Female
43 Years Of Experience
Accepts Medicare Assignment
Name
PREMA GANGANNA (RDN)
NPI
1235609397
Phone
(301) 869-7820
Address
14995 SHADY GROVE RD STE 100
Enumeration Date
3 December 2018
Last Update Date
3 December 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3018697820
Graduation Year
1983 (43 years ago)
PAC ID
5698013571
Group Practice PAC ID
7719909639
Professional Enrollment ID
I20190219002520
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

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Provider Addresses for PREMA GANGANNA (RDN)

  • Shady Grove Road, King Farm, Rockville, Montgomery County, Maryland, 20880, United States

    ROCKVILLE, MD 208508733

    Phone: (301) 869-7820

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 20850)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719909639View full group profile
NameSpecialtyState
A L L E R G Y/ I M M U N O L O G YDC
Nurse PractitionerMD
-MD
-MD
A L L E R G Y/ I M M U N O L O G YMD
A L L E R G Y/ I M M U N O L O G YMD
Nurse PractitionerMD
-VA
Allergy/Immunology, Internal MedicineNC
Nurse PractitionerMD

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Frequently asked questions

What is the standard ID for PREMA GANGANNA (RDN) in the U.S.?
In the U.S., PREMA GANGANNA (RDN) is identified by NPI 1235609397.
Is PREMA GANGANNA (RDN)'s NPI status active today?
Active status means PREMA GANGANNA (RDN)'s NPI record is not deactivated in the public file.
What services align with PREMA GANGANNA (RDN)'s listing?
PREMA GANGANNA (RDN)'s public classification highlights Registered Dietitian. Clinical services aligned with this taxonomy classification.
Can patients visit PREMA GANGANNA (RDN) in Rockville, Maryland?
For routing, start with Rockville, Maryland for PREMA GANGANNA (RDN), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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