Provider Demographics
NPI:1326609827
Name:MAAN, MANDIP (DC)
Entity Type:Individual
Prefix:
First Name:MANDIP
Middle Name:
Last Name:MAAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:MANDIP
Other - Middle Name:
Other - Last Name:KAUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:2001 EASTERN AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21231-3061
Mailing Address - Country:US
Mailing Address - Phone:443-842-5500
Mailing Address - Fax:
Practice Address - Street 1:2563 FOREST DR # 201
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3869
Practice Address - Country:US
Practice Address - Phone:443-842-5500
Practice Address - Fax:443-949-8090
Is Sole Proprietor?:No
Enumeration Date:2019-06-25
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor