Provider Demographics
NPI:1033340229
Name:CHANDELA, SIDHARTHA (MD)
Entity Type:Individual
Prefix:
First Name:SIDHARTHA
Middle Name:
Last Name:CHANDELA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 37174
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21297-3174
Mailing Address - Country:US
Mailing Address - Phone:571-423-5699
Mailing Address - Fax:571-423-5698
Practice Address - Street 1:3300 GALLOWS RD
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-3307
Practice Address - Country:US
Practice Address - Phone:703-472-4100
Practice Address - Fax:703-472-4101
Is Sole Proprietor?:No
Enumeration Date:2009-08-05
Last Update Date:2022-12-21
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Provider Licenses
StateLicense IDTaxonomies
VA0101247411207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery