Provider Demographics
NPI:1881711851
Name:BALCHANDANI, RAJESH (DDS)
Entity type:Individual
Prefix:DR
First Name:RAJESH
Middle Name:
Last Name:BALCHANDANI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19501 DOCTORS DR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-5247
Mailing Address - Country:US
Mailing Address - Phone:301-528-2600
Mailing Address - Fax:301-528-6688
Practice Address - Street 1:19501 DOCTORS DR
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-5247
Practice Address - Country:US
Practice Address - Phone:301-528-2600
Practice Address - Fax:301-528-6688
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD129201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice