Provider Demographics
NPI:1003851254
Name:DHANDA, ANAND M (MD LLC)
Entity Type:Individual
Prefix:
First Name:ANAND
Middle Name:M
Last Name:DHANDA
Suffix:
Gender:M
Credentials:MD LLC
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Mailing Address - Street 1:7500 GREENWAY CENTER DR
Mailing Address - Street 2:FL 8
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3502
Mailing Address - Country:US
Mailing Address - Phone:410-761-4404
Mailing Address - Fax:410-761-5484
Practice Address - Street 1:8028 RITCHIE HWY
Practice Address - Street 2:#114
Practice Address - City:PASADENA
Practice Address - State:MD
Practice Address - Zip Code:21122
Practice Address - Country:US
Practice Address - Phone:410-761-4404
Practice Address - Fax:410-761-5484
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-19
Last Update Date:2016-11-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD00-20147208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B70614Medicare UPIN
MD178NMedicare PIN