Organization
V. PREM CHANDAR, M.D., P.A.
Active
Other names
AFFILIATED DIGESTIVE DISEASE SPECIALISTS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SASIKALA CHANDAR (OFFICE MANAGER)
(301) 773-1111
Entity
Organization
Contact information
Practice address
6001 LANDOVER RD, SUITE 3, CHEVERLY, MD 20785-1143
(301) 773-1111
(301) 773-7869
Mailing address
6001 LANDOVER RD, SUITE 3, CHEVERLY, MD 20785-1143
(301) 773-1111
(301) 773-7869
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
D16380
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100006612
MEDICARE RR
DC
05
—
143601500
—
MD
Enumeration date
01/11/2007
Last updated
09/26/2012
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