Provider Demographics
NPI:1841200896
Name:KENDE, AMIR ITZHAK (MD)
Entity Type:Individual
Prefix:DR
First Name:AMIR
Middle Name:ITZHAK
Last Name:KENDE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9901 MEDICAL CENTER DR
Mailing Address - Street 2:SHADY GROVE ADVENTIST HOSPITAL
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850
Mailing Address - Country:US
Mailing Address - Phone:301-279-6094
Mailing Address - Fax:301-217-5209
Practice Address - Street 1:9901 MEDICAL CENTER DR
Practice Address - Street 2:SHADY GROVE ADVENTIST HOSPITAL
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850
Practice Address - Country:US
Practice Address - Phone:301-279-6094
Practice Address - Fax:301-217-5209
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0063642207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6607501Medicaid
MDH60365Medicare UPIN