Provider Demographics
NPI:1700417052
Name:CHENDI, CHRISANTUS N
Entity Type:Individual
Prefix:
First Name:CHRISANTUS
Middle Name:N
Last Name:CHENDI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9515 STONEY RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20774-5441
Mailing Address - Country:US
Mailing Address - Phone:240-461-8613
Mailing Address - Fax:
Practice Address - Street 1:930 FARRAGUT ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-3944
Practice Address - Country:US
Practice Address - Phone:202-706-1981
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-27
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant