Provider Demographics
NPI:1710163936
Name:ANAND M DHANDA MD LLC
Entity Type:Organization
Organization Name:ANAND M DHANDA MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHHAYA
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-747-1475
Mailing Address - Street 1:8028 RITCHIE HWY
Mailing Address - Street 2:#114
Mailing Address - City:PASADENA
Mailing Address - State:MD
Mailing Address - Zip Code:21122
Mailing Address - Country:US
Mailing Address - Phone:410-761-4404
Mailing Address - Fax:410-761-5484
Practice Address - Street 1:8028 RITCHIE HWY
Practice Address - Street 2:#114
Practice Address - City:PASADENA
Practice Address - State:MD
Practice Address - Zip Code:21122
Practice Address - Country:US
Practice Address - Phone:410-761-4404
Practice Address - Fax:410-761-5484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-17
Last Update Date:2016-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0020147208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0D67OtherBS
MD772861100Medicaid
G332OtherBSDC
B70614Medicare UPIN
G332OtherBSDC