Provider Demographics
NPI:1780886689
Name:CONDARCO, TANIA ANDREA (MD)
Entity type:Individual
Prefix:
First Name:TANIA
Middle Name:ANDREA
Last Name:CONDARCO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:10903 NEW HAMPSHIRE AVE
Mailing Address - Street 2:ATTN: TANIA CONDARCO
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20993-0002
Mailing Address - Country:US
Mailing Address - Phone:301-796-1295
Mailing Address - Fax:
Practice Address - Street 1:19735 GERMANTOWN RD STE 300
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-1223
Practice Address - Country:US
Practice Address - Phone:301-493-2400
Practice Address - Fax:301-493-8553
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-03
Last Update Date:2020-07-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0070703207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism