Provider Demographics
NPI:1598746737
Name:NACHNANI, SUNIL (MD)
Entity Type:Individual
Prefix:
First Name:SUNIL
Middle Name:
Last Name:NACHNANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7704 MATAPEAKE BUSINESS DR
Mailing Address - Street 2:SUITE 325
Mailing Address - City:BRANDYWINE
Mailing Address - State:MD
Mailing Address - Zip Code:20613-3023
Mailing Address - Country:US
Mailing Address - Phone:240-244-5151
Mailing Address - Fax:240-244-5131
Practice Address - Street 1:7704 MATAPEAKE BUSINESS DR
Practice Address - Street 2:SUITE 325
Practice Address - City:BRANDYWINE
Practice Address - State:MD
Practice Address - Zip Code:20613-3023
Practice Address - Country:US
Practice Address - Phone:240-244-5151
Practice Address - Fax:240-244-5131
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0038388207RC0000X
VA101042134207RC0000X
DCMD16993207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD643211501Medicaid
DC196920Medicare PIN
MD643211501Medicaid
MD643211501Medicaid