Provider Demographics
NPI:1114537974
Name:DANDEKER, ANITA
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:
Last Name:DANDEKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13627 COLGATE WAY APT 845
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-7240
Mailing Address - Country:US
Mailing Address - Phone:301-585-2120
Mailing Address - Fax:
Practice Address - Street 1:1112 16TH ST NW STE 240
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-4818
Practice Address - Country:US
Practice Address - Phone:202-745-5266
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-06
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator