Provider Demographics
NPI:1811019292
Name:CHANDRASEKHAR, GEETHA D (MD)
Entity type:Individual
Prefix:DR
First Name:GEETHA
Middle Name:D
Last Name:CHANDRASEKHAR
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:7982 HONEYGO BLVD # 33
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236-4919
Mailing Address - Country:US
Mailing Address - Phone:443-742-5474
Mailing Address - Fax:410-510-1134
Practice Address - Street 1:9106 PHILADELPHIA RD
Practice Address - Street 2:SUITE 204
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237-4329
Practice Address - Country:US
Practice Address - Phone:443-742-5474
Practice Address - Fax:410-510-1134
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD00560452084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry