Provider Demographics
NPI:1043316094
Name:BAND, DAVID MARC (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MARC
Last Name:BAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:7101 SYCAMORE AVE
Mailing Address - Street 2:
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-4634
Mailing Address - Country:US
Mailing Address - Phone:301-412-8432
Mailing Address - Fax:703-858-9446
Practice Address - Street 1:20905 PROFESSIONAL PLZ
Practice Address - Street 2:SUITE 220
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-7783
Practice Address - Country:US
Practice Address - Phone:703-858-9841
Practice Address - Fax:703-858-9446
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01010361492084P0800X
MDD00504242084P0800X
DCC892075652084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
F26221Medicare UPIN
260003115Medicare ID - Type Unspecified