Provider Demographics
NPI:1982709978
Name:DIPAOLO, SANDA F (MD)
Entity Type:Individual
Prefix:DR
First Name:SANDA
Middle Name:F
Last Name:DIPAOLO
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:PO BOX 37174
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21297-3174
Mailing Address - Country:US
Mailing Address - Phone:571-423-5699
Mailing Address - Fax:571-423-5698
Practice Address - Street 1:3025 HAMAKER CT STE 360
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-2243
Practice Address - Country:US
Practice Address - Phone:703-356-7868
Practice Address - Fax:703-356-8399
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101047392207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F41802Medicare UPIN
DI76458Medicare ID - Type Unspecified