Provider Demographics
NPI:1881431815
Name:SAUNDERS, DONTAY ROY LEE (LMT)
Entity type:Individual
Prefix:MR
First Name:DONTAY
Middle Name:ROY LEE
Last Name:SAUNDERS
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:DONTAY
Other - Middle Name:ROY LEE
Other - Last Name:SAUNDERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMT
Mailing Address - Street 1:821 CHESAPEAKE AVE. #4158
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21403-3285
Mailing Address - Country:US
Mailing Address - Phone:443-254-2862
Mailing Address - Fax:
Practice Address - Street 1:4037 BRANCH AVE.
Practice Address - Street 2:
Practice Address - City:TEMPLE HILLS
Practice Address - State:MD
Practice Address - Zip Code:20748
Practice Address - Country:US
Practice Address - Phone:301-316-2111
Practice Address - Fax:301-316-5382
Is Sole Proprietor?:No
Enumeration Date:2024-07-09
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDM066552081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine