Provider Demographics
NPI:1164624763
Name:SANDEL, HENRY DANIEL IV (MD)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:DANIEL
Last Name:SANDEL
Suffix:IV
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:127 LUBRANO DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-7114
Mailing Address - Country:US
Mailing Address - Phone:410-266-7120
Mailing Address - Fax:410-266-6042
Practice Address - Street 1:127 LUBRANO DR
Practice Address - Street 2:SUITE 102
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7114
Practice Address - Country:US
Practice Address - Phone:410-266-7120
Practice Address - Fax:410-266-6042
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2008-07-24
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Provider Licenses
StateLicense IDTaxonomies
IN01063072A207YS0123X
MDD67391207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery