Provider Demographics
NPI:1912199514
Name:BENDEL MEDICAL ASSOCIATES LLC
Entity Type:Organization
Organization Name:BENDEL MEDICAL ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ATTENDING PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SYLVESTER
Authorized Official - Middle Name:OBANYA
Authorized Official - Last Name:OKONKWO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-839-0800
Mailing Address - Street 1:6192 OXON HILL RD
Mailing Address - Street 2:STE 507
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745-3114
Mailing Address - Country:US
Mailing Address - Phone:301-839-0800
Mailing Address - Fax:301-839-8088
Practice Address - Street 1:6192 OXON HILL RD
Practice Address - Street 2:STE 507
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-3114
Practice Address - Country:US
Practice Address - Phone:301-839-0800
Practice Address - Fax:301-839-8088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-16
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDGOO495Medicare PIN