Provider Demographics
NPI:1639459753
Name:SAMDANI, TUSHAR (MD)
Entity Type:Individual
Prefix:
First Name:TUSHAR
Middle Name:
Last Name:SAMDANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:10 SAINT PATRICKS DR
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20603-4527
Mailing Address - Country:US
Mailing Address - Phone:301-705-7870
Mailing Address - Fax:301-870-8832
Practice Address - Street 1:10 SAINT PATRICKS DR
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20603-4527
Practice Address - Country:US
Practice Address - Phone:301-705-7870
Practice Address - Fax:301-870-8832
Is Sole Proprietor?:No
Enumeration Date:2011-08-20
Last Update Date:2023-01-23
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Provider Licenses
StateLicense IDTaxonomies
MDD0078483208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery