Chandu, Gangadhara

Chandu, Gangadhara is an sole proprietor health care provider with primary practice located at 400 Red Brook Blvd , Owings Mills MD 21117-5172. He recently has only one registered license in Dental Providers / Dental Assistant, which is considered as his primary health care specialty. Chandu, Gangadhara can be contacted via phone (312) 121-2222.

Contact Information

Primary practice address
400 Red Brook Blvd Owings Mills MD 21117-5172
Phone: (312) 121-2222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 44444444444444444444 Iowa

Profile Details

NPI number 1821375809
LBN Legal business name Chandu, Gangadhara
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2011
Last updated Nov 4th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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