Provider Demographics
NPI:1164466330
Name:CUMMINGS, CANDRA A (MD)
Entity Type:Individual
Prefix:DR
First Name:CANDRA
Middle Name:A
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CANDRA
Other - Middle Name:A
Other - Last Name:PARKER-CUMMINGS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:5741 WESTERN SEA RUN
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21029-1665
Mailing Address - Country:US
Mailing Address - Phone:410-952-2657
Mailing Address - Fax:
Practice Address - Street 1:5741 WESTERN SEA RUN
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21029-1665
Practice Address - Country:US
Practice Address - Phone:410-952-2657
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-16
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD474904207L00000X
MDD0051892207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology