Provider Demographics
NPI:1669417846
Name:DHANDA, URMIL (MD)
Entity type:Individual
Prefix:DR
First Name:URMIL
Middle Name:
Last Name:DHANDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8028 RITCHIE HWY
Mailing Address - Street 2:STE 114
Mailing Address - City:PASADENA
Mailing Address - State:MD
Mailing Address - Zip Code:21122
Mailing Address - Country:US
Mailing Address - Phone:410-761-1870
Mailing Address - Fax:410-761-5484
Practice Address - Street 1:8028 RITCHIE HIGHWAY
Practice Address - Street 2:SUITE 114
Practice Address - City:PASADENA
Practice Address - State:MD
Practice Address - Zip Code:21122-1020
Practice Address - Country:US
Practice Address - Phone:410-761-1870
Practice Address - Fax:410-761-5484
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-19
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0020416208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD699827500Medicaid
B70902Medicare UPIN
212SMedicare ID - Type Unspecified