Individual
ALEXANDER MAXWELL KANDABAROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3475 N BEAUREGARD ST STE 201, ALEXANDRIA, VA 22302-1356
(703) 506-8590
Mailing address
3475 N BEAUREGARD ST STE 201, ALEXANDRIA, VA 22302-1356
(703) 506-8590
(703) 506-8596
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
00000000
IL
208800000X
Urology Physician
Primary
0101274595
VA
208800000X
Urology Physician
036155865
IL
208800000X
Urology Physician
125068288
IL
Other
Enumeration date
02/25/2016
Last updated
05/19/2025
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