Organization
NATASHA SANDY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATASHA A. SANDY M.D. (PRESIDENT)
(443) 255-7089
Entity
Organization
Contact information
Practice address
8890 CENTRE PARK DR STE 300B, COLUMBIA, MD 21045-2188
(410) 696-7553
(410) 696-7510
Mailing address
2710 GOODWOOD RD, BALTIMORE, MD 21214-2109
(443) 255-7089
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
MD
207Q00000X
Family Medicine Physician
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
271236
MEDICARE
MD
Enumeration date
01/22/2013
Last updated
01/22/2020
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