Provider Demographics
NPI:1538205224
Name:NANDA, SHIKHA MITTOO
Entity type:Individual
Prefix:
First Name:SHIKHA
Middle Name:MITTOO
Last Name:NANDA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SHIKHA
Other - Middle Name:
Other - Last Name:MITTOO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:THE JOHNS HOPKINS HOSPITAL 600 NORTH WOLFE ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287-0001
Mailing Address - Country:US
Mailing Address - Phone:410-550-0100
Mailing Address - Fax:
Practice Address - Street 1:THE JOHNS HOPKINS HOSPITAL 600 NORTH WOLFE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0001
Practice Address - Country:US
Practice Address - Phone:410-550-0100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0062688207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDT0288OtherHOPKINS PHYSICIAN NUMBER
MDD0062688OtherSTATE LICENSE
MDBN9547300OtherDEA