Provider Demographics
NPI:1962820084
Name:BANDEALY, SHAHEJA SITAFALWALLLA (MD)
Entity Type:Individual
Prefix:DR
First Name:SHAHEJA
Middle Name:SITAFALWALLLA
Last Name:BANDEALY
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Gender:F
Credentials:MD
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Mailing Address - Street 1:3800 RESERVOIR RD NW
Mailing Address - Street 2:DEPT OF PSYCHIATRY
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-2113
Mailing Address - Country:US
Mailing Address - Phone:202-944-5400
Mailing Address - Fax:202-944-5402
Practice Address - Street 1:3800 RESERVOIR RD NW
Practice Address - Street 2:DEPT OF PSYCHIATRY
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007
Practice Address - Country:US
Practice Address - Phone:202-944-5400
Practice Address - Fax:202-944-5402
Is Sole Proprietor?:No
Enumeration Date:2014-04-05
Last Update Date:2018-08-03
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Provider Licenses
StateLicense IDTaxonomies
DCMD0465702084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry