Individual
DR. NEERAJ GANDOTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4940 EASTERN AVE, JHBMC, BALTIMORE, MD 21224-2735
(410) 550-0100
Mailing address
1253 4TH ST SW, WASHINGTON, DC 20024-2307
(443) 838-9722
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
D0067343
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018329600
—
MD
Enumeration date
01/24/2008
Last updated
07/21/2008
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