Provider Demographics
NPI:1356158547
Name:KENDAWI, AHMAD SIRRY
Entity type:Individual
Prefix:
First Name:AHMAD
Middle Name:SIRRY
Last Name:KENDAWI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7201 ALDEN WAY
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-2474
Mailing Address - Country:US
Mailing Address - Phone:301-534-1010
Mailing Address - Fax:
Practice Address - Street 1:7201 ALDEN WAY
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MD
Practice Address - Zip Code:21076-2474
Practice Address - Country:US
Practice Address - Phone:301-534-1010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-12
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor