Individual
DR. NIMA HENDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1475 TANEY AVE, SUITE 201, FREDERICK, MD 21702-4747
(301) 662-0133
(240) 379-6710
Mailing address
1475 TANEY AVE, SUITE 201, FREDERICK, MD 21702-4747
(301) 662-0133
(240) 379-6710
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
D0054312
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
456302600
—
MD
Enumeration date
07/13/2005
Last updated
06/18/2010
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