# ADVANCED ENT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720451693
- **Authorized official:** DR. SANJAY PRASAD M.D. (OWNER)
- **Authorized official phone:** (301) 807-3841

## Contact information

- **Practice address:** 1101 WOOTTON PKWY, SUITE 900, ROCKVILLE, MD 20852-1059
- **Practice address phone:** (301) 493-9409
- **Practice address fax:** (301) 493-9429
- **Mailing address:** 1101 WOOTTON PARKWAY, SUITE 900, ROCKVILLE, MD 20852-1089
- **Mailing address phone:** (301) 493-9409
- **Mailing address fax:** (301) 493-9429

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | — | NULL | Yes |
| 207Y00000X | Otolaryngology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/02/2015
- **Last updated:** 11/02/2015