Provider Demographics
NPI:1992371157
Name:NANDIPAMU, DHAYA PRASAD (FNP -C)
Entity Type:Individual
Prefix:DR
First Name:DHAYA
Middle Name:PRASAD
Last Name:NANDIPAMU
Suffix:
Gender:F
Credentials:FNP -C
Other - Prefix:DR
Other - First Name:DHAYA
Other - Middle Name:SELVARAJ
Other - Last Name:MUTHIAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DHAYA S MUTHIAH
Mailing Address - Street 1:7604 ALLOWAY LN
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-6321
Mailing Address - Country:US
Mailing Address - Phone:301-875-3122
Mailing Address - Fax:
Practice Address - Street 1:MEDSTAR WASHINGTON HOSPITAL CENTER
Practice Address - Street 2:110 IRVING STREET NW
Practice Address - City:WASHINGTON DC
Practice Address - State:DC
Practice Address - Zip Code:20010
Practice Address - Country:US
Practice Address - Phone:202-877-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-28
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR229986363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily