Individual
DR. MAITHILY A. NANDEDKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1801 ROBERT FULTON DR, SUITE 520, RESTON, VA 20191-5461
(703) 860-1818
(703) 860-5303
Mailing address
1801 ROBERT FULTON DR, SUITE 520, RESTON, VA 20191-5461
(703) 860-1818
(703) 860-5303
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192618
ANTHEM BCBS
VA
01
—
4036-0001
CAREFIRST BCBS
MD
01
—
7985486
AETNA
VA
Enumeration date
05/04/2006
Last updated
12/21/2007
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