Provider Demographics
NPI:1205333457
Name:BATEN-TSCHAN, ALEXANDER FERDOWS
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:FERDOWS
Last Name:BATEN-TSCHAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6720A ROCKLEDGE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-9915
Mailing Address - Country:US
Mailing Address - Phone:301-493-9600
Mailing Address - Fax:
Practice Address - Street 1:6720A ROCKLEDGE DR STE 200
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-9915
Practice Address - Country:US
Practice Address - Phone:301-493-9600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-12
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0098483207WX0009X
PAMT219196390200000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0009XAllopathic & Osteopathic PhysiciansOphthalmologyGlaucoma Specialist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program