Provider Demographics
NPI:1013058437
Name:HANDYSIDES, ALLAN ROBERT (MB, CHB, FRCPC, FRCS)
Entity Type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:ROBERT
Last Name:HANDYSIDES
Suffix:
Gender:M
Credentials:MB, CHB, FRCPC, FRCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12501 OLD COLUMBIA PIKE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-6601
Mailing Address - Country:US
Mailing Address - Phone:301-680-6702
Mailing Address - Fax:301-680-6707
Practice Address - Street 1:12501 OLD COLUMBIA PIKE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-6601
Practice Address - Country:US
Practice Address - Phone:301-680-6702
Practice Address - Fax:301-680-6707
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0055140207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD0055140OtherMEDICAL LICENSE