Organization
MIKHAIL GENDEL FAMILY PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIKHAIL GENDEL MD (PHYSICIAN)
(301) 519-2650
Entity
Organization
Contact information
Practice address
16220 FREDERICK RD, SUITE 200, GAITHERSBURG, MD 20877-4039
(301) 519-2650
(301) 519-2653
Mailing address
16220 FREDERICK RD, SUITE 200, GAITHERSBURG, MD 20877-4039
(301) 519-2650
(301) 519-2653
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DOO52322
MD
Other
Enumeration date
07/16/2006
Last updated
11/24/2011
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