Provider Demographics
NPI:1043232945
Name:GONCHIGAR, HEMANJANI (MD)
Entity type:Individual
Prefix:DR
First Name:HEMANJANI
Middle Name:
Last Name:GONCHIGAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44121 LESSBURG PIKE
Mailing Address - Street 2:STE 250
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-5674
Mailing Address - Country:US
Mailing Address - Phone:301-983-6490
Mailing Address - Fax:301-983-6493
Practice Address - Street 1:2235 CEDAR LN STE 302
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-5247
Practice Address - Country:US
Practice Address - Phone:703-889-5406
Practice Address - Fax:703-430-9785
Is Sole Proprietor?:No
Enumeration Date:2006-07-23
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00015662084P0800X
MDD00516662084P0800X
VA01010551132084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD663910100Medicaid
MD663910100Medicaid